US20130173285A1 - Evidence-based healthcare information management protocols - Google Patents

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Description

• If an Application Data Sheet (ADS) has been filed on the filing date of this application, it is incorporated by reference herein. Any applications claimed on the ADS for priority under 35 U.S.C. §§119, 120, 121, or 365(c), and any and all parent, grandparent, great-grandparent, etc. applications of such applications, are also incorporated by reference, including any priority claims made in those applications and any material incorporated by reference, to the extent such subject matter is not inconsistent herewith.
CROSS-REFERENCE TO RELATED APPLICATIONS
• The present application is related to and/or claims the benefit of the earliest available effective filing date(s) from the following listed application(s) (the “Priority Applications”), if any, listed below (e.g., claims earliest available priority dates for other than provisional patent applications or claims benefits under 35 USC §119(e) for provisional patent applications, for any and all parent, grandparent, great-grandparent, etc. applications of the Priority Application(s)). In addition, the present application is related to the “Related Applications,” if any, listed below.
PRIORITY APPLICATIONS
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,519, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 30 Dec. 2011 with attorney docket no. 1011-002-001-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,747, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 9 Jan. 2012 with attorney docket no. 1011-002-002-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,750, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 9 Jan. 2012 with attorney docket no. 1011-002-003-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,745, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 9 Jan. 2012 with attorney docket no. 1011-002-004-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,744, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 9 Jan. 2012 with attorney docket no. 1011-002-005-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
• For purposes of the USPTO extra-statutory requirements, the present application constitutes a continuation-in-part of U.S. patent application Ser. No. 13/374,748, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed 9 Jan. 2012 with attorney docket no. 1011-002-006-000000, which is currently co-pending or is an application of which a currently co-pending application is entitled to the benefit of the filing date.
RELATED APPLICATIONS
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-010-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-011-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-012-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-013-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-015-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-016-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-017-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-018-000000, is related to the present application.
• U.S. patent application Ser. No. To Be Assigned, entitled EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS, naming Roderick A. Hyde; Edward K. Y. Jung; Jordin T. Kare; Eric C. Leuthardt; Royce A. Levien; Richard T. Lord; Robert W. Lord; Mark A. Malamud; John D. Rinaldo, Jr.; Dennis J. Rivet; Clarence T. Tegreene; and Lowell L. Wood, Jr. as inventors, filed on even date herewith attorney docket no. 1011-002-019-000000, is related to the present application.
• The United States Patent Office (USPTO) has published a notice to the effect that the USPTO's computer programs require that patent applicants reference both a serial number and indicate whether an application is a continuation, continuation-in-part, or divisional of a parent application. Stephen G. Kunin, Benefit of Prior-Filed Application, USPTO Official Gazette Mar. 18, 2003. The USPTO further has provided forms for the Application Data Sheet which allow automatic loading of bibliographic data but which require identification of each application as a continuation, continuation-in-part, or divisional of a parent application. The present Applicant Entity (hereinafter “Applicant”) has provided above a specific reference to the application(s) from which priority is being claimed as recited by statute. Applicant understands that the statute is unambiguous in its specific reference language and does not require either a serial number or any characterization, such as “continuation” or “continuation-in-part,” for claiming priority to U.S. patent applications. Notwithstanding the foregoing, Applicant understands that the USPTO's computer programs have certain data entry requirements, and hence Applicant has provided designation(s) of a relationship between the present application and its parent application(s) as set forth above and in any ADS filed in this application, but expressly points out that such designation(s) are not to be construed in any way as any type of commentary and/or admission as to whether or not the present application contains any new matter in addition to the matter of its parent application(s).
• If the listings of applications provided above are inconsistent with the listings provided via an ADS, it is the intent of the Applicant to claim priority to each application that appears in the Priority Applications section of the ADS and to each application that appears in the Priority Applications section of this application.
• All subject matter of the Priority Applications and the Related Applications and of any and all parent, grandparent, great-grandparent, etc. applications of the Priority Applications and the Related Applications, including any priority claims, is incorporated herein by reference to the extent such subject matter is not inconsistent herewith.
TECHNICAL FIELD
• This disclosure relates to managing information in an evidence-based medical practice, particularly records of patients and treatments.
SUMMARY
• An embodiment provides a method. In one implementation, the method includes but is not limited to causing an electronic record of a first protocol (comprising one or more instances of diagnostic evaluations, regimen implementations, or medical interventions, e.g.) for a particular condition (comprising one or more instances of injuries, complaints, or pathologies, e.g.) to be annotated with a scan of a document and retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for causing an electronic record of a first protocol for a particular condition to be annotated with a scan of a document and circuitry for retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to causing an electronic record of a first protocol for a particular condition to be annotated with a scan of a document and retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for causing an electronic record of a first protocol for a particular condition to be annotated with a scan of a document and retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication that a particular condition was treated in a first patient with a first protocol; causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol; and retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication that a particular condition was treated in a first patient with a first protocol; circuitry for causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol; and circuitry for retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication that a particular condition was treated in a first patient with a first protocol; causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol; and retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication that a particular condition was treated in a first patient with a first protocol; causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol; and retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient; requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour; and signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient; circuitry for requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour; and circuitry for signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient; requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour; and signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient; requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour; and signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an association between a particular condition and a first protocol; causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained; and signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an association between a particular condition and a first protocol; circuitry for causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained; and circuitry for signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an association between a particular condition and a first protocol; causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained; and signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an association between a particular condition and a first protocol; causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained; and signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an association between a care administration space and a first device; obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device; and causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an association between a care administration space and a first device; circuitry for obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device; and circuitry for causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an association between a care administration space and a first device; obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device; and causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an association between a care administration space and a first device; obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device; and causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition; obtaining an indication of a second device associated with and wearable by a caregiver; causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location; and describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition; obtaining an indication of a second device associated with and wearable by a caregiver; causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location; and describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition; obtaining an indication of a second device associated with and wearable by a caregiver; causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location; and describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition; obtaining an indication of a second device associated with and wearable by a caregiver; causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location; and describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an association between data indicating a current health status of a first individual and a record designator and causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an association between data indicating a current health status of a first individual and a record designator and circuitry for causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an association between data indicating a current health status of a first individual and a record designator and causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an association between data indicating a current health status of a first individual and a record designator and causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen; obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen; circuitry for obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and circuitry for signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen; obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen; obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual; obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual; and characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual; circuitry for obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual; and circuitry for characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual; obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual; and characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual; obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual; and characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining a field of view within which a specific portion of the field of view includes a view of a first patient; obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining a field of view within which a specific portion of the field of view includes a view of a first patient; circuitry for obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and circuitry for signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining a field of view within which a specific portion of the field of view includes a view of a first patient; obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining a field of view within which a specific portion of the field of view includes a view of a first patient; obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication whether or not a first individual is compliant with a first health regimen; responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication whether or not a first individual is compliant with a first health regimen; circuitry for responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and circuitry for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication whether or not a first individual is compliant with a first health regimen; responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication whether or not a first individual is compliant with a first health regimen; responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining a first indication whether or not a first patient has violated a first health regimen; obtaining a second indication whether or not the first patient has violated the first health regimen; signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen; and signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining a first indication whether or not a first patient has violated a first health regimen; circuitry for obtaining a second indication whether or not the first patient has violated the first health regimen; circuitry for signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen; and circuitry for signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining a first indication whether or not a first patient has violated a first health regimen; obtaining a second indication whether or not the first patient has violated the first health regimen; signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen; and signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining a first indication whether or not a first patient has violated a first health regimen; obtaining a second indication whether or not the first patient has violated the first health regimen; signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen; and signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to assigning a component of an artificial incentive to a first patient partly based on an indication that the first patient has been admitted to a first institution in relation to a particular condition and partly based on an indication that the first patient has not undergone an institutional readmission and transmitting to the first patient a result of assigning the component of the artificial incentive to the first patient partly based on the indication that the first patient has been admitted to the first institution in relation to the particular condition and partly based on the indication that the first patient has not undergone the institutional readmission. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for assigning a component of an artificial incentive to a first patient partly based on an indication that the first patient has been admitted to a first institution in relation to a particular condition and partly based on an indication that the first patient has not undergone an institutional readmission and circuitry for transmitting to the first patient a result of assigning the component of the artificial incentive to the first patient partly based on the indication that the first patient has been admitted to the first institution in relation to the particular condition and partly based on the indication that the first patient has not undergone the institutional readmission. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to assigning a component of an artificial incentive to a first patient partly based on an indication that the first patient has been admitted to a first institution in relation to a particular condition and partly based on an indication that the first patient has not undergone an institutional readmission and transmitting to the first patient a result of assigning the component of the artificial incentive to the first patient partly based on the indication that the first patient has been admitted to the first institution in relation to the particular condition and partly based on the indication that the first patient has not undergone the institutional readmission. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for assigning a component of an artificial incentive to a first patient partly based on an indication that the first patient has been admitted to a first institution in relation to a particular condition and partly based on an indication that the first patient has not undergone an institutional readmission and transmitting to the first patient a result of assigning the component of the artificial incentive to the first patient partly based on the indication that the first patient has been admitted to the first institution in relation to the particular condition and partly based on the indication that the first patient has not undergone the institutional readmission. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to obtaining an indication that an order associates a first patient with a medical device; obtaining an indication that the medical device is in a vicinity of the first patient; and enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for obtaining an indication that an order associates a first patient with a medical device; circuitry for obtaining an indication that the medical device is in a vicinity of the first patient; and circuitry for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to obtaining an indication that an order associates a first patient with a medical device; obtaining an indication that the medical device is in a vicinity of the first patient; and enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for obtaining an indication that an order associates a first patient with a medical device; obtaining an indication that the medical device is in a vicinity of the first patient; and enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual; receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual; and causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual; circuitry for receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual; and circuitry for causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual; receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual; and causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual; receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual; and causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a method. In one implementation, the method includes but is not limited to identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval; causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual; and signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In one or more various aspects, related machines, compositions of matter, or manufactures of systems may include virtually any combination permissible under 35 U.S.C. §101 of hardware, software, and/or firmware configured to effect the herein-referenced method aspects depending upon the design choices of the system designer.
• An embodiment provides a system. In one implementation, the system includes but is not limited to circuitry for identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval; circuitry for causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual; and circuitry for signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides an article of manufacture including a computer program product. In one implementation, the article of manufacture includes but is not limited to a signal-bearing medium configured by one or more instructions related to identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval; causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual; and signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual. In addition to the foregoing, other computer program product aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• An embodiment provides a system. In one implementation, the system includes but is not limited to a computing device and instructions. The instructions when executed on the computing device configure the computing device for identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval; causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual; and signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual. In addition to the foregoing, other system aspects are described in the claims, drawings, and text forming a part of the present disclosure.
• In addition to the foregoing, various other method and/or system and/or program product aspects are set forth and described in the teachings such as text (e.g., claims and/or detailed description) and/or drawings of the present disclosure. The foregoing is a summary and thus may contain simplifications, generalizations, inclusions, and/or omissions of detail; consequently, those skilled in the art will appreciate that the summary is illustrative only and is NOT intended to be in any way limiting. Other aspects, features, and advantages of the devices and/or processes and/or other subject matter described herein will become apparent in the teachings set forth below.
BRIEF DESCRIPTION OF THE FIGURES
• For a more complete understanding of embodiments, reference now is made to the following descriptions taken in connection with the accompanying drawings. The use of the same symbols in different drawings typically indicates similar or identical items, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims are not meant to be limiting. Other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the subject matter presented here.
• FIG. 1 depicts an exemplary environment in which one or more technologies may be implemented in one or more data-handling media.
• FIG. 2 depicts an exemplary environment in which one or more technologies may facilitate coordination between a hospital and one or more other facilities.
• FIG. 3 depicts an exemplary environment in which one or more technologies may be implemented in a device.
• FIGS. 4-7 respectively depict other exemplary environments in which one or more technologies may be implemented in one or more data-handling media.
• FIGS. 8-13 respectively depict exemplary environments in which one or more technologies may be configured to operate between or among respective devices.
• FIG. 14 depicts a high-level logic flow of an operational process (described with reference toFIG. 8, e.g.).
• FIG. 15 depicts a high-level logic flow of an operational process (described with reference toFIG. 9, e.g.).
• FIG. 16 depicts a high-level logic flow of an operational process (described with reference toFIG. 10, e.g.).
• FIG. 17 depicts a high-level logic flow of an operational process (described with reference toFIG. 11, e.g.).
• FIG. 18 depicts a high-level logic flow of an operational process (described with reference toFIG. 12, e.g.).
• FIG. 19 depicts a high-level logic flow of an operational process (described with reference toFIG. 13, e.g.).
• FIG. 20 depicts another exemplary environment in which one or more technologies may be configured to operate between or among respective devices.
• FIGS. 21-26 each depict an exemplary environment in which one or more technologies may be implemented in one or more data-handling media.
• FIG. 27 depicts another exemplary environment in which one or more technologies may be implemented via one or more networked devices.
• FIG. 28 depicts another exemplary environment in which one or more technologies may be configured to operate between or among respective devices.
• FIG. 29 depicts another exemplary environment in which local event-sequencing logic is configured to observe or interact with a uniquely identifiable article.
• FIG. 30 depicts another exemplary environment in which local event-sequencing logic is configured to receive a signal from a sample tester or other networked device.
• FIG. 31 depicts another exemplary environment in which local event-sequencing logic is configured to receive a signal from a network on which several records reside.
• FIG. 32 depicts another exemplary environment in which local event-sequencing logic is configured to communicate to or from a dispenser or other networked device.
• FIG. 33 depicts another exemplary environment in which medical device configuration logic is configured to control a disablement feature or other component of a medical device.
• FIG. 34 depicts another exemplary environment in which one or more technologies may be configured to operate a primary unit (one or more chips, e.g.) having one or more electrical nodes.
• FIG. 35 depicts another exemplary environment in which one or more technologies may be configured to communicate with or via a satellite.
• FIG. 36 depicts another exemplary environment in which one or more technologies may be configured to actuate, disable, or otherwise control a disposable item.
• FIG. 37 depicts another exemplary environment in which one or more technologies may be configured to implement a data-handling device (in a handheld unit, e.g.).
• FIG. 38 depicts another exemplary environment in which one or more technologies may be configured to implement a data-handling device (in a wearable article, e.g.).
• FIG. 48 depicts a high-level logic flow of an operational process (described with reference toFIG. 38, e.g.).
• FIG. 39 depicts another exemplary environment in which one or more technologies may be configured to implement a local device via which a call center may communicate with a patient, e.g.).
• FIG. 49 depicts a high-level logic flow of an operational process (described with reference toFIG. 39, e.g.).
• FIG. 40 depicts another exemplary environment in which one or more technologies may be configured to implement a tracking unit useful for monitoring compliance with a health regimen.
• FIG. 50 depicts a high-level logic flow of an operational process (described with reference toFIG. 40, e.g.).
• FIG. 41 depicts another exemplary environment in which one or more technologies may be configured to implement a device (a handheld having a touchscreen, e.g.) by which a user may designate an individual (patient, e.g.).
• FIG. 51 depicts a high-level logic flow of an operational process (described with reference toFIG. 41, e.g.).
• FIG. 42 depicts another exemplary environment in which one or more technologies may be configured to notify an individual (patient, e.g.) of a remaining portion of a time interval (associated with a task, e.g.) or of an artificial incentive (for participating in the task, e.g.).
• FIG. 52 depicts a high-level logic flow of an operational process (described with reference toFIG. 42, e.g.).
• FIG. 43 depicts another exemplary environment in which one or more technologies may be configured to implement a tiered response to a health regimen that is not followed.
• FIG. 53 depicts a high-level logic flow of an operational process (described with reference toFIG. 43, e.g.).
• FIG. 44 depicts another exemplary environment in which one or more technologies may be configured to implement an artificial incentive (dispensed item, e.g.) to an individual (patient released from a hospital, e.g.).
• FIG. 54 depicts a high-level logic flow of an operational process (described with reference toFIG. 44, e.g.).
• FIG. 45 depicts another exemplary environment in which one or more technologies may be configured to determine whether a medical device is in a vicinity of a patient.
• FIG. 55 depicts a high-level logic flow of an operational process (described with reference toFIG. 45, e.g.).
• FIG. 46 depicts another exemplary environment in which one or more technologies may be configured to operate a dispenser at a patient care facility.
• FIG. 56 depicts a high-level logic flow of an operational process (described with reference toFIG. 46, e.g.).
• FIG. 47 depicts another exemplary environment in which one or more technologies may be configured to notify someone (a patient, e.g.) of a remaining portion of a time interval (associated with a task, e.g.).
• FIG. 57 depicts a high-level logic flow of an operational process (described with reference toFIG. 47, e.g.).
• FIG. 58 depicts variants of earlier-presented flows (in any ofFIG. 14-19 or48-57).
• FIG. 59 likewise depicts variants of earlier-presented flows (in any ofFIG. 14-19 or48-58).
• FIG. 60 likewise depicts variants of earlier-presented flows (in any ofFIG. 14-19 or48-59).
• FIG. 61 likewise depicts variants of earlier-presented flows (in any ofFIG. 14-19 or48-60).
• FIG. 62 likewise depicts variants of earlier-presented flows (in any ofFIG. 14-19 or48-61).
DETAILED DESCRIPTION
• In the following detailed description, reference is made to the accompanying drawings, which form a part hereof. In the drawings, similar symbols typically identify similar or identical components or items, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims are not meant to be limiting. Other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the subject matter presented here.
• The present application uses formal outline headings for clarity of presentation. However, it is to be understood that the outline headings are for presentation purposes, and that different types of subject matter may be discussed throughout the application (e.g., device(s)/structure(s) may be described under process(es)/operations heading(s) and/or process(es)/operations may be discussed under structure(s)/process(es) headings; and/or descriptions of single topics may span two or more topic headings). Hence, the use of the formal outline headings is not intended to be in any way limiting.
• Throughout this application, examples and lists are given, with parentheses, the abbreviation “e.g.,” or both. Unless explicitly otherwise stated, these examples and lists are merely exemplary and are non-exhaustive. In most cases, it would be prohibitive to list every example and every combination. Thus, smaller, illustrative lists and examples are used, with focus on imparting understanding of the claim terms rather than limiting the scope of such terms.
• With respect to the use of substantially any plural and/or singular terms herein, those having skill in the art can translate from the plural to the singular and/or from the singular to the plural as is appropriate to the context and/or application. The various singular/plural permutations are not expressly set forth herein for sake of clarity.
• One skilled in the art will recognize that the herein described components (e.g., operations), devices, objects, and the discussion accompanying them are used as examples for the sake of conceptual clarity and that various configuration modifications are contemplated. Consequently, as used herein, the specific exemplars set forth and the accompanying discussion are intended to be representative of their more general classes. In general, use of any specific exemplar is intended to be representative of its class, and the non-inclusion of specific components (e.g., operations), devices, and objects should not be taken limiting.
• Those having skill in the art will recognize that the state of the art has progressed to the point where there is little distinction left between hardware, software, and/or firmware implementations of aspects of systems; the use of hardware, software, and/or firmware is generally (but not always, in that in certain contexts the choice between hardware and software can become significant) a design choice representing cost vs. efficiency tradeoffs. Those having skill in the art will appreciate that there are various vehicles by which processes and/or systems and/or other technologies described herein can be effected (e.g., hardware, software, and/or firmware), and that the preferred vehicle will vary with the context in which the processes and/or systems and/or other technologies are deployed. For example, if an implementer determines that speed and accuracy are paramount, the implementer may opt for a mainly hardware and/or firmware vehicle; alternatively, if flexibility is paramount, the implementer may opt for a mainly software implementation; or, yet again alternatively, the implementer may opt for some combination of hardware, software, and/or firmware in one or more machines, compositions of matter, and articles of manufacture, limited to patentable subject matter under 35 USC 101. Hence, there are several possible vehicles by which the processes and/or devices and/or other technologies described herein may be effected, none of which is inherently superior to the other in that any vehicle to be utilized is a choice dependent upon the context in which the vehicle will be deployed and the specific concerns (e.g., speed, flexibility, or predictability) of the implementer, any of which may vary. Those skilled in the art will recognize that optical aspects of implementations will typically employ optically-oriented hardware, software, and or firmware.
• In some implementations described herein, logic and similar implementations may include software or other control structures. Electronic circuitry, for example, may have one or more paths of electrical current constructed and arranged to implement various functions as described herein. In some implementations, one or more media may be configured to bear a device-detectable implementation when such media hold or transmit device detectable instructions operable to perform as described herein. In some variants, for example, implementations may include an update or modification of existing software or firmware, or of gate arrays or programmable hardware, such as by performing a reception of or a transmission of one or more instructions in relation to one or more operations described herein. Alternatively or additionally, in some variants, an implementation may include special-purpose hardware, software, firmware components, and/or general-purpose components executing or otherwise invoking special-purpose components. Specifications or other implementations may be transmitted by one or more instances of tangible transmission media as described herein, optionally by packet transmission or otherwise by passing through distributed media at various times.
• Alternatively or additionally, implementations may include executing a special-purpose instruction sequence or invoking circuitry for enabling, triggering, coordinating, requesting, or otherwise causing one or more occurrences of virtually any functional operations described herein. In some variants, operational or other logical descriptions herein may be expressed as source code and compiled or otherwise invoked as an executable instruction sequence. In some contexts, for example, implementations may be provided, in whole or in part, by source code, such as C++, or other code sequences. In other implementations, source or other code implementation, using commercially available and/or techniques in the art, may be compiled//implemented/translated/converted into a high-level descriptor language (e.g., initially implementing described technologies in C or C++ programming language and thereafter converting the programming language implementation into a logic-synthesizable language implementation, a hardware description language implementation, a hardware design simulation implementation, and/or other such similar mode(s) of expression). For example, some or all of a logical expression (e.g., computer programming language implementation) may be manifested as a Verilog-type hardware description (e.g., via Hardware Description Language (HDL) and/or Very High Speed Integrated Circuit Hardware Descriptor Language (VHDL)) or other circuitry model which may then be used to create a physical implementation having hardware (e.g., an Application Specific Integrated Circuit). Those skilled in the art will recognize how to obtain, configure, and optimize suitable transmission or computational elements, material supplies, actuators, or other structures in light of these teachings.
• The claims, description, and drawings of this application may describe one or more of the instant technologies in operational/functional language, for example as a set of operations to be performed by a computer. Such operational/functional description in most instances would be understood by one skilled the art as specifically-configured hardware (e.g., because a general purpose computer in effect becomes a special purpose computer once it is programmed to perform particular functions pursuant to instructions from program software).
• Importantly, although the operational/functional descriptions described herein are understandable by the human mind, they are not abstract ideas of the operations/functions divorced from computational implementation of those operations/functions. Rather, the operations/functions represent a specification for massively complex computational machines or other means. As discussed in detail below, the operational/functional language must be read in its proper technological context, i.e., as concrete specifications for physical implementations.
• The logical operations/functions described herein are a distillation of machine specifications or other physical mechanisms specified by the operations/functions such that the otherwise inscrutable machine specifications may be comprehensible to a human reader. The distillation also allows one of skill in the art to adapt the operational/functional description of the technology across many different specific vendors' hardware configurations or platforms, without being limited to specific vendors' hardware configurations or platforms.
• Some of the present technical description (e.g., detailed description, drawings, claims, etc.) may be set forth in terms of logical operations/functions. As described in more detail herein, these logical operations/functions are not representations of abstract ideas, but rather are representative of static or sequenced specifications of various hardware elements. Differently stated, unless context dictates otherwise, the logical operations/functions will be understood by those of skill in the art to be representative of static or sequenced specifications of various hardware elements. This is true because tools available to one of skill in the art to implement technical disclosures set forth in operational/functional formats—tools in the form of a high-level programming language (e.g., C, java, visual basic), etc.), or tools in the form of Very high speed Hardware Description Language (“VHDL,” which is a language that uses text to describe logic circuits)—are generators of static or sequenced specifications of various hardware configurations. This fact is sometimes obscured by the broad term “software,” but, as shown by the following explanation, those skilled in the art understand that what is termed “software” is a shorthand for a massively complex interchaining/specification of ordered-matter elements. The term “ordered-matter elements” may refer to physical components of computation, such as assemblies of electronic logic gates, molecular computing logic constituents, quantum computing mechanisms, etc.
• For example, a high-level programming language is a programming language with strong abstraction, e.g., multiple levels of abstraction, from the details of the sequential organizations, states, inputs, outputs, etc., of the machines that a high-level programming language actually specifies. See, e.g., Wikipedia, High-level programming language, http://en.wikipedia.org/wiki/High-level_programming_language (as of Jun. 5, 2012, 21:00 GMT). In order to facilitate human comprehension, in many instances, high-level programming languages resemble or even share symbols with natural languages. See, e.g., Wikipedia, Natural language, http://en.wikipedia.org/wiki/Natural_language (as of Jun. 5, 2012, 21:00 GMT).
• It has been argued that because high-level programming languages use strong abstraction (e.g., that they may resemble or share symbols with natural languages), they are therefore a “purely mental construct” (e.g., that “software”—a computer program or computer programming—is somehow an ineffable mental construct, because at a high level of abstraction, it can be conceived and understood by a human reader). This argument has been used to characterize technical description in the form of functions/operations as somehow “abstract ideas.” In fact, in technological arts (e.g., the information and communication technologies) this is not true.
• The fact that high-level programming languages use strong abstraction to facilitate human understanding should not be taken as an indication that what is expressed is an abstract idea. In fact, those skilled in the art understand that just the opposite is true. If a high-level programming language is the tool used to implement a technical disclosure in the form of functions/operations, those skilled in the art will recognize that, far from being abstract, imprecise, “fuzzy,” or “mental” in any significant semantic sense, such a tool is instead a near incomprehensibly precise sequential specification of specific computational machines—the parts of which are built up by activating/selecting such parts from typically more general computational machines over time (e.g., clocked time). This fact is sometimes obscured by the superficial similarities between high-level programming languages and natural languages. These superficial similarities also may cause a glossing over of the fact that high-level programming language implementations ultimately perform valuable work by creating/controlling many different computational machines.
• The many different computational machines that a high-level programming language specifies are almost unimaginably complex. At base, the hardware used in the computational machines typically consists of some type of ordered matter (e.g., traditional electronic devices (e.g., transistors), deoxyribonucleic acid (DNA), quantum devices, mechanical switches, optics, fluidics, pneumatics, optical devices (e.g., optical interference devices), molecules, etc.) that are arranged to form logic gates. Logic gates are typically physical devices that may be electrically, mechanically, chemically, or otherwise driven to change physical state in order to create a physical reality of logic, such as Boolean logic.
• Logic gates may be arranged to form logic circuits, which are typically physical devices that may be electrically, mechanically, chemically, or otherwise driven to create a physical reality of certain logical functions. Types of logic circuits include such devices as multiplexers, registers, arithmetic logic units (ALUs), computer memory, etc., each type of which may be combined to form yet other types of physical devices, such as a central processing unit (CPU)—the best known of which is the microprocessor. A modern microprocessor will often contain more than one hundred million logic gates in its many logic circuits (and often more than a billion transistors). See, e.g., Wikipedia, Logic gates, http://en.wikipedia.org/wiki/Logic_gates (as of Jun. 5, 2012, 21:03 GMT).
• The logic circuits forming the microprocessor are arranged to provide a microarchitecture that will carry out the instructions defined by that microprocessor's defined Instruction Set Architecture. The Instruction Set Architecture is the part of the microprocessor architecture related to programming, including the native data types, instructions, registers, addressing modes, memory architecture, interrupt and exception handling, and external Input/Output. See, e.g., Wikipedia, Computer architecture, http://en.wikipedia.org/wiki/Computer_architecture (as of Jun. 5, 2012, 21:03 GMT).
• The Instruction Set Architecture includes a specification of the machine language that can be used by programmers to use/control the microprocessor. Since the machine language instructions are such that they may be executed directly by the microprocessor, typically they consist of strings of binary digits, or bits. For example, a typical machine language instruction might be many bits long (e.g., 32, 64, or 128 bit strings are currently common). A typical machine language instruction might take the form “11110000101011110000111100111111” (a 32 bit instruction).
• It is significant here that, although the machine language instructions are written as sequences of binary digits, in actuality those binary digits specify physical reality. For example, if certain semiconductors are used to make the operations of Boolean logic a physical reality, the apparently mathematical bits “1” and “0” in a machine language instruction actually constitute a shorthand that specifies the application of specific voltages to specific wires. For example, in some semiconductor technologies, the binary number “1” (e.g., logical “1”) in a machine language instruction specifies around +5 volts applied to a specific “wire” (e.g., metallic traces on a printed circuit board) and the binary number “0” (e.g., logical “0”) in a machine language instruction specifies around −5 volts applied to a specific “wire.” In addition to specifying voltages of the machines' configurations, such machine language instructions also select out and activate specific groupings of logic gates from the millions of logic gates of the more general machine. Thus, far from abstract mathematical expressions, machine language instruction programs, even though written as a string of zeros and ones, specify many, many constructed physical machines or physical machine states.
• Machine language is typically incomprehensible by most humans (e.g., the above example was just ONE instruction, and some personal computers execute more than two billion instructions every second). See, e.g., Wikipedia, Instructions per second, http://en.wikipedia.org/wiki/Instructions_per_second (as of Jun. 5, 2012, 21:04 GMT). Thus, programs written in machine language—which may be tens of millions of machine language instructions long—are incomprehensible to most humans. In view of this, early assembly languages were developed that used mnemonic codes to refer to machine language instructions, rather than using the machine language instructions' numeric values directly (e.g., for performing a multiplication operation, programmers coded the abbreviation “mult,” which represents the binary number “011000” in MIPS machine code). While assembly languages were initially a great aid to humans controlling the microprocessors to perform work, in time the complexity of the work that needed to be done by the humans outstripped the ability of humans to control the microprocessors using merely assembly languages.
• At this point, it was noted that the same tasks needed to be done over and over, and the machine language necessary to do those repetitive tasks was the same. In view of this, compilers were created. A compiler is a device that takes a statement that is more comprehensible to a human than either machine or assembly language, such as “add 2+2 and output the result,” and translates that human understandable statement into a complicated, tedious, and immense machine language code (e.g., millions of 32, 64, or 128 bit length strings). Compilers thus translate high-level programming language into machine language.
• This compiled machine language, as described above, is then used as the technical specification which sequentially constructs and causes the interoperation of many different computational machines such that useful, tangible, and concrete work is done. For example, as indicated above, such machine language—the compiled version of the higher-level language—functions as a technical specification which selects out hardware logic gates, specifies voltage levels, voltage transition timings, etc., such that the useful work is accomplished by the hardware.
• Thus, a functional/operational technical description, when viewed by one of skill in the art, is far from an abstract idea. Rather, such a functional/operational technical description, when understood through the tools available in the art such as those just described, is instead understood to be a humanly understandable representation of a hardware specification, the complexity and specificity of which far exceeds the comprehension of most any one human. With this in mind, those skilled in the art will understand that any such operational/functional technical descriptions—in view of the disclosures herein and the knowledge of those skilled in the art—may be understood as operations made into physical reality by (a) one or more interchained physical machines, (b) interchained logic gates configured to create one or more physical machine(s) representative of sequential/combinatorial logic(s), (c) interchained ordered matter making up logic gates (e.g., interchained electronic devices (e.g., transistors), DNA, quantum devices, mechanical switches, optics, fluidics, pneumatics, molecules, etc.) that create physical reality of logic(s), or (d) virtually any combination of the foregoing. Indeed, any physical object which has a stable, measurable, and changeable state may be used to construct a machine based on the above technical description. Charles Babbage, for example, constructed the first mechanized computational apparatus out of wood, with the apparatus powered by cranking a handle.
• Thus, far from being understood as an abstract idea, those skilled in the art will recognize a functional/operational technical description as a humanly-understandable representation of one or more almost unimaginably complex and time sequenced hardware instantiations. The fact that functional/operational technical descriptions might lend themselves readily to high-level computing languages (or high-level block diagrams for that matter) that share some words, structures, phrases, etc. with natural language should not be taken as an indication that such functional/operational technical descriptions are abstract ideas, or mere expressions of abstract ideas. In fact, as outlined herein, in the technological arts this is simply not true. When viewed through the tools available to those of skill in the art, such functional/operational technical descriptions are seen as specifying hardware configurations of almost unimaginable complexity.
• As outlined above, the reason for the use of functional/operational technical descriptions is at least twofold. First, the use of functional/operational technical descriptions allows near-infinitely complex machines and machine operations arising from interchained hardware elements to be described in a manner that the human mind can process (e.g., by mimicking natural language and logical narrative flow). Second, the use of functional/operational technical descriptions assists the person of skill in the art in understanding the described subject matter by providing a description that is more or less independent of any specific vendor's piece(s) of hardware.
• The use of functional/operational technical descriptions assists the person of skill in the art in understanding the described subject matter since, as is evident from the above discussion, one could easily, although not quickly, transcribe the technical descriptions set forth in this document as trillions of ones and zeroes, billions of single lines of assembly-level machine code, millions of logic gates, thousands of gate arrays, or any number of intermediate levels of abstractions. However, if any such low-level technical descriptions were to replace the present technical description, a person of skill in the art could encounter undue difficulty in implementing the disclosure, because such a low-level technical description would likely add complexity without a corresponding benefit (e.g., by describing the subject matter utilizing the conventions of one or more vendor-specific pieces of hardware). Thus, the use of functional/operational technical descriptions assists those of skill in the art by separating the technical descriptions from the conventions of any vendor-specific piece of hardware.
• In view of the foregoing, the logical operations/functions set forth in the present technical description are representative of static or sequenced specifications of various ordered-matter elements, in order that such specifications may be comprehensible to the human mind and adaptable to create many various hardware configurations. The logical operations/functions disclosed herein should be treated as such, and should not be disparagingly characterized as abstract ideas merely because the specifications they represent are presented in a manner that one of skill in the art can readily understand and apply in a manner independent of a specific vendor's hardware implementation.
• Those skilled in the art will recognize that it is common within the art to implement devices and/or processes and/or systems, and thereafter use engineering and/or other practices to integrate such implemented devices and/or processes and/or systems into more comprehensive devices and/or processes and/or systems. That is, at least a portion of the devices and/or processes and/or systems described herein can be integrated into other devices and/or processes and/or systems via a reasonable amount of experimentation. Those having skill in the art will recognize that examples of such other devices and/or processes and/or systems might include—as appropriate to context and application—all or part of devices and/or processes and/or systems of (a) an air conveyance (e.g., an airplane, rocket, helicopter, etc.), (b) a ground conveyance (e.g., a car, truck, locomotive, tank, armored personnel carrier, etc.), (c) a building (e.g., a home, warehouse, office, etc.), (d) an appliance (e.g., a refrigerator, a washing machine, a dryer, etc.), (e) a communications system (e.g., a networked system, a telephone system, a Voice over IP system, etc.), (f) a business entity (e.g., an Internet Service Provider (ISP) entity such as Comcast Cable, Qwest, Southwestern Bell, etc.), or (g) a wired/wireless services entity (e.g., Sprint, Cingular, Nextel, etc.), etc.
• In certain cases, use of a system or method may occur in a territory even if components are located outside the territory. For example, in a distributed computing context, use of a distributed computing system may occur in a territory even though parts of the system may be located outside of the territory (e.g., relay, server, processor, signal-bearing medium, transmitting computer, receiving computer, etc. located outside the territory).
• A sale of a system or method may likewise occur in a territory even if components of the system or method are located and/or used outside the territory. Further, implementation of at least part of a system for performing a method in one territory does not preclude use of the system in another territory
• One skilled in the art will recognize that the herein described components (e.g., operations), devices, objects, and the discussion accompanying them are used as examples for the sake of conceptual clarity and that various configuration modifications are contemplated. Consequently, as used herein, the specific exemplars set forth and the accompanying discussion are intended to be representative of their more general classes. In general, use of any specific exemplar is intended to be representative of its class, and the non-inclusion of specific components (e.g., operations), devices, and objects should not be taken limiting.
• The herein described subject matter sometimes illustrates different components contained within, or connected with, different other components. It is to be understood that such depicted architectures are merely exemplary, and that in fact many other architectures may be implemented which achieve the same functionality. In a conceptual sense, any arrangement of components to achieve the same functionality is effectively “associated” such that the desired functionality is achieved. Hence, any two components herein combined to achieve a particular functionality can be seen as “associated with” each other such that the desired functionality is achieved, irrespective of architectures or intermedial components. Likewise, any two components so associated can also be viewed as being “operably connected”, or “operably coupled,” to each other to achieve the desired functionality, and any two components capable of being so associated can also be viewed as being “operably couplable,” to each other to achieve the desired functionality. Specific examples of operably couplable include but are not limited to physically mateable and/or physically interacting components, and/or wirelessly interactable, and/or wirelessly interacting components, and/or logically interacting, and/or logically interactable components.
• In some instances, one or more components may be referred to herein as “configured to,” “configured by,” “configurable to,” “operable/operative to,” “adapted/adaptable,” “able to,” “conformable/conformed to,” etc. Those skilled in the art will recognize that such terms (e.g. “configured to”) generally encompass active-state components and/or inactive-state components and/or standby-state components, unless context requires otherwise.
• In a general sense, those skilled in the art will recognize that the various embodiments described herein can be implemented, individually and/or collectively, by various types of electro-mechanical systems having a wide range of electrical components such as hardware, software, firmware, and/or virtually any combination thereof, limited to patentable subject matter under 35 U.S.C. 101; and a wide range of components that may impart mechanical force or motion such as rigid bodies, spring or torsional bodies, hydraulics, electro-magnetically actuated devices, and/or virtually any combination thereof. Consequently, as used herein “electro-mechanical system” includes, but is not limited to, electrical circuitry operably coupled with a transducer (e.g., an actuator, a motor, a piezoelectric crystal, a Micro Electro Mechanical System (MEMS), etc.), electrical circuitry having at least one discrete electrical circuit, electrical circuitry having at least one integrated circuit, electrical circuitry having at least one application specific integrated circuit, electrical circuitry forming a general purpose computing device configured by a computer program (e.g., a general purpose computer configured by a computer program which at least partially carries out processes and/or devices described herein, or a microprocessor configured by a computer program which at least partially carries out processes and/or devices described herein), electrical circuitry forming a memory device (e.g., forms of memory (e.g., random access, flash, read only, etc.)), electrical circuitry forming a communications device (e.g., a modem, communications switch, optical-electrical equipment, etc.), and/or any non-electrical analog thereto, such as optical or other analogs (e.g., graphene based circuitry). Those skilled in the art will also appreciate that examples of electro-mechanical systems include but are not limited to a variety of consumer electronics systems, medical devices, as well as other systems such as motorized transport systems, factory automation systems, security systems, and/or communication/computing systems. Those skilled in the art will recognize that electro-mechanical as used herein is not necessarily limited to a system that has both electrical and mechanical actuation except as context may dictate otherwise.
• In a general sense, those skilled in the art will recognize that the various aspects described herein which can be implemented, individually and/or collectively, by a wide range of hardware, software, firmware, and/or any combination thereof can be viewed as being composed of various types of “electrical circuitry.” Consequently, as used herein “electrical circuitry” includes, but is not limited to, electrical circuitry having at least one discrete electrical circuit, electrical circuitry having at least one integrated circuit, electrical circuitry having at least one application specific integrated circuit, electrical circuitry forming a general purpose computing device configured by a computer program (e.g., a general purpose computer configured by a computer program which at least partially carries out processes and/or devices described herein, or a microprocessor configured by a computer program which at least partially carries out processes and/or devices described herein), electrical circuitry forming a memory device (e.g., forms of memory (e.g., random access, flash, read only, etc.)), and/or electrical circuitry forming a communications device (e.g., a modem, communications switch, optical-electrical equipment, etc.). Those having skill in the art will recognize that the subject matter described herein may be implemented in an analog or digital fashion or some combination thereof.
• Those skilled in the art will recognize that at least a portion of the devices and/or processes described herein can be integrated into a data processing system. Those having skill in the art will recognize that a data processing system generally includes one or more of a system unit housing, a video display device, memory such as volatile or non-volatile memory, processors such as microprocessors or digital signal processors, computational entities such as operating systems, drivers, graphical user interfaces, and applications programs, one or more interaction devices (e.g., a touch pad, a touch screen, an antenna, etc.), and/or control systems including feedback loops and control motors (e.g., feedback for sensing position and/or velocity; control motors for moving and/or adjusting components and/or quantities). A data processing system may be implemented utilizing suitable commercially available components, such as those typically found in data computing/communication and/or network computing/communication systems.
• For the purposes of this application, “cloud” computing may be understood as described in the cloud computing literature. For example, cloud computing may be methods and/or systems for the delivery of computational capacity and/or storage capacity as a service. The “cloud” may refer to one or more hardware and/or software components that deliver or assist in the delivery of computational and/or storage capacity, including, but not limited to, one or more of a client, an application, a platform, an infrastructure, and/or a server The cloud may refer to any of the hardware and/or software associated with a client, an application, a platform, an infrastructure, and/or a server. For example, cloud and cloud computing may refer to one or more of a computer, a processor, a storage medium, a router, a switch, a modem, a virtual machine (e.g., a virtual server), a data center, an operating system, a middleware, a firmware, a hardware back-end, a software back-end, and/or a software application. A cloud may refer to a private cloud, a public cloud, a hybrid cloud, and/or a community cloud. A cloud may be a shared pool of configurable computing resources, which may be public, private, semi-private, distributable, scaleable, flexible, temporary, virtual, and/or physical. A cloud or cloud service may be delivered over one or more types of network, e.g., a mobile communication network, and the Internet.
• As used in this application, a cloud or a cloud service may include one or more of infrastructure-as-a-service (“IaaS”), platform-as-a-service (“PaaS”), software-as-a-service (“SaaS”), and/or desktop-as-a-service (“DaaS”). As a non-exclusive example, IaaS may include, e.g., one or more virtual server instantiations that may start, stop, access, and/or configure virtual servers and/or storage centers (e.g., providing one or more processors, storage space, and/or network resources on-demand, e.g., EMC and Rackspace). PaaS may include, e.g., one or more software and/or development tools hosted on an infrastructure (e.g., a computing platform and/or a solution stack from which the client can create software interfaces and applications, e.g., Microsoft Azure). SaaS may include, e.g., software hosted by a service provider and accessible over a network (e.g., the software for the application and/or the data associated with that software application may be kept on the network, e.g., Google Apps, SalesForce). DaaS may include, e.g., providing desktop, applications, data, and/or services for the user over a network (e.g., providing a multi-application framework, the applications in the framework, the data associated with the applications, and/or services related to the applications and/or the data over the network, e.g., Citrix). The foregoing is intended to be exemplary of the types of systems and/or methods referred to in this application as “cloud” or “cloud computing” and should not be considered complete or exhaustive.
• The proliferation of automation in many transactions is apparent. For example, Automated Teller Machines (“ATMs”) dispense money and receive deposits. Airline ticket counter machines check passengers in, dispense tickets, and allow passengers to change or upgrade flights. Train and subway ticket counter machines allow passengers to purchase a ticket to a particular destination without invoking a human interaction at all. Many groceries and pharmacies have self-service checkout machines which allow a consumer to pay for goods purchased by interacting only with a machine. Large companies now staff telephone answering systems with machines that interact with customers, and invoke a human in the transaction only if there is a problem with the machine-facilitated transaction.
• Nevertheless, as such automation increases, convenience and accessibility may decrease. Self-checkout machines at grocery stores may be difficult to operate. ATMs and ticket counter machines may be mostly inaccessible to disabled persons or persons requiring special access. Where before, the interaction with a human would allow disabled persons to complete transactions with relative ease, if a disabled person is unable to push the buttons on an ATM, there is little the machine can do to facilitate the transaction to completion. While some of these public terminals allow speech operations, they are configured to the most generic forms of speech, which may be less useful in recognizing particular speakers, thereby leading to frustration for users attempting to speak to the machine. This problem may be especially challenging for the disabled, who already may face significant challenges in completing transactions with automated machines.
• In addition, smartphones and tablet devices also now are configured to receive speech commands. Speech and voice controlled automobile systems now appear regularly in motor vehicles, even in economical, mass-produced vehicles. Home entertainment devices, e.g., disc players, televisions, radios, stereos, and the like, may respond to speech commands. Additionally, home security systems may respond to speech commands. In an office setting, a worker's computer may respond to speech from that worker, allowing faster, more efficient work flows. Such systems and machines may be trained to operate with particular users, either through explicit training or through repeated interactions. Nevertheless, when that system is upgraded or replaced, e.g., a new television is purchased, that training may be lost with the device. Thus, in some embodiments described herein, adaptation data for speech recognition systems may be separated from the device which recognizes the speech, and may be more closely associated with a user, e.g., through a device carried by the user, or through a network location associated with the user.
• Further, in some environments, there may be more than one device that transmits and receives data within a range of interacting with a user. For example, merely sitting on a couch watching television may involve five or more devices, e.g., a television, a cable box, an audio/visual receiver, a remote control, and a smartphone device. Some of these devices may transmit or receive speech data. Some of these devices may transmit, receive, or store adaptation data, as will be described in more detail herein. Thus, in some embodiments, which will be described in more detail herein, there may be methods, systems, and devices for determining which devices in a system should perform actions that allow a user to efficiently interact with an intended device through that user's speech.
• With reference now toFIG. 1, shown is an example of a system1 (a network subsystem, e.g.) in which one or more technologies may be implemented. One ormore media105 are configured to bear one or more instances of a registry109 (of multiple subscribers, e.g.); organized informational data components relating to health-relatedprotocols120,130,140 relating to the treatment ofvarious conditions160,170,180 (symptoms orpathologies181 or sets107 thereof, e.g.);thresholds191,192; and outputs195,196. One or moresuch data components126 relate specifically to the handling ofcondition160 usingprotocol120 prospectively or otherwise, for example, for one or more particular patients or more generally as described below. (Such sets107 ofpathologies181 may comprise one or more of an addiction or chronic pain or major depression, for example.) One ormore data components127 likewise relate specifically to the handling ofcondition170 using protocol120 (MRI screening followed by magnetic stimulation therapy, e.g.). One ormore data components128 likewise relate specifically to the handling ofcondition180 usingprotocol120.
• One ormore data components136 likewise relate specifically to the handling ofcondition160 usingprotocol130. One ormore data components137 likewise relate specifically to the handling of condition170 (hypertension with major depression in a male of 50 years or older, e.g.) using protocol130 (a series of ten weekly counseling sessions, e.g.). One ormore data components138 likewise relate specifically to the handling ofcondition180 usingprotocol130.
• One ormore data components146 likewise relate specifically to the handling ofcondition160 usingprotocol140. One ormore data components147 likewise relate specifically to the handling of condition170 (major depression, e.g.) usingprotocol140. In some contexts,protocol140 may comprise a particular drug141 (sertraline, e.g.) taken at a particular dosage (50 milligrams, e.g.) with a particular frequency144 (daily, e.g.). One ormore data components148 likewise relate specifically to the handling ofcondition180 usingprotocol140.
• A wide variety ofconditions160,170,180 of interest may be identified using one or more common medical classification publications: the ICD (International Classification of Diseases); the ICSD (International Classification of Sleep Disorders); the NANDA (North American Nursing Diagnosis Association); the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders); the Mendelian Inheritance in Man; and the SNOMED (Systematized Nomenclature of Human Medicine, D axis). In practical terms, records signaling such conditions may also comprise textual descriptors to locate misclassified orother data components126,137,148 that signalsuch conditions160,170,180 of interest (in a physician's remarks or other annotations relating to patients who have been readmitted to a psychiatric or other care facility, e.g.).
• Likewise a wide variety ofprotocols120,130,140 (of diagnosis or treatment, e.g.) of interest may be identified using one or more common procedure codes in various publications: the ICHI (International Classification of Health Interventions); the ICPM (International Classification of Procedures in Medicine); the ICPC-2 (International Classification of Primary Care); the HCPCS (Healthcare Common Procedure Coding System); the ICD-10-PCS and the ICD-9-CM Volume 3 (International Classification of Diseases); the NIC (Nursing Interventions Classification); the NMDS (Nursing Minimum Data Set); the NOC (Nursing Outcomes Classification); the SNOMED (Systematized Nomenclature of Human Medicine, P axis); and the CPT (Current Procedural Terminology) codes. In practical terms, records signaling such protocols may also comprise DRG (Diagnosis Related Group) codes or textual descriptors to locate misclassified orother data components126,137,148 that signalsuch protocols120,130,140 of interest.
• With reference now toFIG. 2, shown is an example of various institutions among which one or more technologies may be implemented. A motor vehicle bearing amobile device241 is shown in a vicinity of ahospital201 on a network290 (the Internet or a phone network, e.g.) shared with anotherhospital202 and ahome289 of apatient250. In some contexts,network290 may include one ormore call centers295 operated by one ormore agents294 as described below. Astationary device242 is configured to monitor alocation204 within which it resides (in or near an emergency room ofhospital202, e.g.). In the particular context as shown,hospital201 is in oneservice zone207 andhospital202 is in asecond service zone208.
• With reference now toFIG. 3, shown is another example of a system3 (asubsystem comprising network290, e.g.) in which one or more technologies may be implemented.Device305 may (optionally) include one or more instances ofinput modules311,312,313,314,315,316,317,318,319; ofconfiguration modules321,322,323,324,325,326; ofrequest modules331,332; ofretrieval modules341,342,343,344; ofresponse modules351,352,353,354,355,356,357,358,359; ofinvocation modules371,372,373,374; ofstatement modules381,382; ofcomparators391; ofclocks392; ofexpert systems393; oftransmitters394; ofglobal positioning systems396; of radio frequency identification (RFID)transponders397; or of ultrasound identification (USID)transponders398. In some contexts, moreover, a single component (an application-specific integrated circuit or device-executable software, e.g.) may implement two or more types of the modules described below.Input module319, for example, may (optionally) be configured to implement more than one of input modules311-318 (as an automatic response to device-detectable events as described below, e.g.).Response module359 may likewise be configured to implement more than one of response modules351-358 (in response to an activation signal frominvocation module374, e.g.). In many of the contexts described below, two or more instances ofdevice305 are configured to interact with one another or to include one ormore media105 as described below. SeeFIGS. 4-7,21, and22.
• With reference now toFIG. 4, shown is another example of a system4 (a network subsystem, e.g.) in which one or more technologies may be implemented. One ormore media405 are configured to bear one or more instances ofcontent431,432; ofprotocol data450; of patient attributes470 (gender471 orage472 orrace473, e.g.); ofbiometrics481,test results482, computed tomography scans483 orother images484; or other suchdiagnostic data490. Each of the data components126-128,136-138,146-148 that pertain to aparticular patient250, for example, may (optionally) include one ormore protocol identifiers451, material identifiers452 (of drugs, e.g.), timing data453 (of dosages, e.g.), protocol effectiveness indicators456 (such asrankings454 orscores455, e.g.), or dates457 (of orders or enrollments or injuries or other major events, e.g.) as well asdiagnostic data490 relating to each selected protocol (documenting its rationale or apparent effect, e.g.).
• With reference now toFIG. 5, shown is another example of a system5 (a network subsystem, e.g.) in which one or more technologies may be implemented. One ormore media505 are configured to bear one or more instances ofpathology identifiers511,symptom identifiers512,complaints513, or othersuch condition indications515; of report types521,request authorizations522,user identifiers523, or other such indications525 (of excessive institutional readmissions or other apparently negative outcomes that warrant scrutiny, e.g.); oftime intervals538 orprogrammatic delays541,542,543,544; ofinputs551,552 or replies555; ofrecords561,562,563,564,565,566,567,568,569 relating to a particular patient or caregiver; ofqueries571,572,573,574 orrequests581,582 as described below.
• With reference now toFIG. 6, shown is another example of a system6 (a network subsystem, e.g.) in which one or more technologies may be implemented. One ormore media605 are configured to bear one or more instances of accounts616 (relating to funds or other inventories, e.g.); orders618 (by a physician, e.g.);components651,652 of aregimen650;records671,672,673,674,675 relating to a particular patient or caregiver;indications681,682,683,684,685,686,687,688,689 of various events or conditions relating to healthcare or information management; or ofgoods691,services692,credits693, orother incentives694 as described below.
• With reference now toFIG. 7, shown is another example of a system7 (a network subsystem, e.g.) in which one or more technologies may be implemented. One ormore media705 are configured to bear one or more instances ofvalidations701,702; records710 (comprisingtimestamps711 orother data712 manifesting measurement or observation events, e.g.); e-mail addresses721,telephone numbers722, or other contact information720 (of a care provider or administrator, e.g.); preferences725 (of users ofdevices305 as described below, e.g.);identifiers731,732,733,734,735 (of devices or individuals, e.g.); coded or other digitally expressedexceptions740 affecting treatment decisions (cost differences741,side effects742,past failures743, orpatient preferences744, e.g.); global positioning system (GPS)data751,752 (of devices or individuals as described below, e.g.);data764 comprising medical justification audit reports765;indications777 comprisingrequests771,772 (signaling anassociation776 between a caregiver or patient and various indications681-689 described below, e.g.); and scans788,789 (of documents supporting a course of treatment, e.g.).
• Several variants described herein refer to device-detectable “implementations” such as one or more instances of computer-readable code, transistor or latch connectivity layouts or other geometric expressions of logical elements, firmware or software expressions of transfer functions implementing computational specifications, digital expressions of truth tables, or the like. Such instances can, in some implementations, include source code or other human-readable portions. Alternatively or additionally, functions of implementations described herein may constitute one or more device-detectable outputs such as decisions, manifestations, side effects, results, coding or other expressions, displayable images, data files, data associations, statistical correlations, streaming signals, intensity levels, frequencies or other measurable attributes, packets or other encoded expressions, or the like from invoking or monitoring the implementation as described herein.
• In some embodiments, a “state” of a component may comprise “available” or some other such state-descriptive labels, an event count or other such memory values, a partial depletion or other such physical property of a supply device, a voltage, or any other such conditions or attributes that may change between two or more possible values irrespective of device location. Such states may be received directly as a measurement or other detection, in some variants, and/or may be inferred from a component's behavior over time. A distributed or other composite system may comprise vector-valued device states, moreover, which may affect dispensations or departures in various ways as exemplified herein.
• “Received,” “particular,” “wearable,” “portable,” “precedent,” “stationary,” “audible,” “conditional,” “explicit,” “prior,” “extrinsic,” “mobile,” “specific,” “partly,” “local,” “between,” “passive,” “associated,” “effective,” “single,” “wireless,” “any,” “within,” “automatic,” “proximate,” “remote,” “common,” “selective,” “explicit,” “resident,” “employed,” “detectable,” “multiple,” “in a vicinity,” “visible,” “objective,” “matching,” “artificial,” “institutional,” “medical,” or other such descriptors herein are used in their normal yes-or-no sense, not as terms of degree, unless context dictates otherwise. “Compliant,” for example, is used in its normal yes-or-no sense except in contexts that describe degrees of compliance with particularity (quantifying “how well” a regimen has been followed, e.g.). In light of the present disclosure those skilled in the art will understand from context what is meant by “vicinity,” by being “in” or “at” a detection region, by “remote,” and by other such positional descriptors used herein. Terms like “processor,” “center,” “unit,” “computer,” or other such descriptors herein are used in their normal sense, in reference to an inanimate structure. Such terms do not include any people, irrespective of their location or employment or other association with the thing described, unless context dictates otherwise. A “hospital” may refer merely to a facility (one or more brick-and-mortar buildings, e.g.) adapted for administering medical care, for example, except in contexts that describe an abstract institution with particularity (relating to whether such institutions have “admitted” a patient, e.g.). “For” is not used to articulate a mere intended purpose in phrases like “circuitry for” or “instruction for,” moreover, but is used normally, in descriptively identifying special purpose circuitry or code.
• In some embodiments a “manual” occurrence includes, but is not limited to, one that results from one or more actions consciously taken by a device user in real time. Conversely an “automatic” occurrence is not affected by any action consciously taken by a device user in real time except where context dictates otherwise.
• In some embodiments, “signaling” something can include identifying, contacting, requesting, selecting, or indicating the thing. In some cases a signaled thing is susceptible to fewer than all of these aspects, of course, such as a task definition that cannot be “contacted.”
• In some embodiments, “status indicative” data can reflect a trend or other time-dependent phenomenon indicating some aspect of a subject's condition. Alternatively or additionally, a status indicative data set can include portions that have no bearing upon such status. Although some types of distillations can require authority or substantial expertise (e.g. making a final decision upon a risky procedure or other course of treatment), many other types of distillations can readily be implemented without undue experimentation in light of teachings herein.
• In some embodiments, “causing” events can include triggering, producing or otherwise directly or indirectly bringing the events to pass. This can include causing the events remotely, concurrently, partially, or otherwise as a “cause in fact,” whether or not a more immediate cause also exists.
• Some descriptions herein refer to an “indication whether” an event has occurred. An indication is “positive” if it indicates that the event has occurred, irrespective of its numerical sign or lack thereof. Whether positive or negative, such indications may be weak (i.e. slightly probative), definitive, or many levels in between. In some cases the “indication” may include a portion that is indeterminate, such as an irrelevant portion of a useful photograph.
• With reference now toFIG. 8, shown is another example of a system8 (a subsystem of one ormore networks290,890 described herein, e.g.) in which one or more technologies may be implemented. Adesktop scanner878 is configured to transmit ascan811 of a hardcopy877 (of a medical journal article, e.g.) to a local system841 (comprising adisplay810 andkeyboard846, e.g.) on one ormore networks290,890 described herein. Onesuch network890 comprises a records archive820 accessible by one ormore retrieval modules825 operable by a remote requestor893 (remote fromlocal system841, e.g.).
• With reference now toFIG. 14, shown is a high-level logic flow14 of an operational process.Intensive operation42 describes causing an electronic record of a first protocol for a particular condition to be annotated with a scan of a document (e.g. configuration module326 amending adigital record569 of the first protocol to include a reference to or a copy of adigital scan811 of ahard copy877 in response toinput module314 receiving the reference to or the copy of the digital scan811). This can occur, for example, in a context in which record569 reflectspatient250 being admitted or having been admitted tohospital201 for the treatment of aparticular condition170 by aspecific protocol120, in whichnetwork290 is linked tonetwork890, in which one or more instances ofdevice305 reside on network890 (implementing a computerworkstation comprising system841, e.g.), in which one or more input modules311-319 receive thedigital scan811 as an automatic response toscanner878 receiving thehard copy877, and in whichconfiguration module326 fully implements the annotation (directly to a remote instance ofrecord569, e.g.) without any manual input (as an additional automatic response toscanner878 receiving thehard copy877, e.g.). Alternatively,input module314 may be configured to confirm that a caregiver wants such annotation or to permit the caregiver to tune the annotation (by adding related notes or orders or by annotating other records561-569,3191-3197 with thesame scan811, e.g.). In some variants, for example, the local user can confirm that the changes made to a local instance of record569 (including a locally indicated or displayedscan811, e.g.) should be written to a remote records archive820 (into adata component127 specifically associated with theprotocol120 and with thecondition170, e.g.) by responding affirmatively to aquery572 like “save changes to the current record?”
• Extensive operation61 describes retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission (e.g. retrieval module825 retrievingrecord569 based on indications thatpatient250 was treated for theparticular condition170 athospital201 and was released and later readmitted for the same condition170). This can occur, for example, in a context in which record569 includes asymptom identifier512 orother indication681 of the specificmedical condition170, in which record569 also includes acolor scan811 ofcontent431 pertaining to themedical condition170 presented in the form of a hard copy877 (a research study provided by thepatient250 or a family member, e.g.), and in which such later readmission (for the particular condition or for a treatment of some harm to the patient resulting from a medical error that occurred during the prior hospitalization, e.g.) would otherwise trigger a reduction in payment for the “first” protocol or for other hospital services. In some contexts, for example, a Multidrug-Resistant Staphylococcus Aureus (MRSA) diagnosis that appears during a patient's hospital stay, or some other hospital-acquired condition, may be indicative of such medical error. Alternatively or additionally, such content431 (in one ormore media105,405 residing onnetwork890, e.g.) may pertain to one or moremedical protocols120,130 under prospective consideration for treating thepatient250 and may be retained (as evidence of diligent decision-making or of why a course of treatment was not selected, e.g.).
• With reference now toFIG. 9, shown is another example of a system9 (e.g. a subsystem of one ormore networks290,990) in which one or more technologies may be implemented. Adesktop system941 is configured to display (to acaregiver991 or other authorized entity, e.g.) one or more instances ofstudies931,records932,forms933, or other such indications relating to apatient992.Such records932 may includevarious data components127,136,148 relating to therapies (actually or potentially) being performed upon one ormore patients250,992 as described herein. In some contexts, one or moresuch records932 may be retrieved from or saved to records archive920 (by one ormore retrieval modules925 in an implementation ofdevice305 described above, e.g.). Alternatively or additionally, a regional network990 (e.g. for one ormore hospitals201,202) containing such archives may be accessed (by aremote requestor993, e.g.) as described herein.
• With reference now toFIG. 15, shown is a high-level logic flow15 of an operational process.Intensive operation35 describes obtaining an indication that a particular condition was treated in a first patient with a first protocol (e.g. input module316 receiving amedical record932 or otherspecific indication935 thatprotocol120 was used for treatingcondition170 in patient250). This can occur, for example, in a context in which one or moresuch indications935 comprise adata component127 associated withprotocol120 and withcondition170, in which asecond patient992 or hercaregiver991 has access to some or all of the data component127 (including thespecific indication935, e.g.), and in whichcondition170 is described indata component127 with a pathology identifier511 (“fibromyalgia,” e.g.) that has also been assigned to the “second”patient992. In some variants, for example, one or more such data components126-128,136-138 may reside in one or more regional records archives820,920 accessible toauthorized caregivers991. Alternatively or additionally, one or moresuch indications935 may be obtained from a published research study931 (as ahard copy877 to be scanned, e.g.) or entered into an online form933 (with an identifier of ahospital201 or a physician orprotocol data450 or other background information known tocaregiver991 about the “first”patient250 or his/her prior treatment, e.g.).
• Intensive operation43 describes causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol (e.g. configuration module323 modifying amedical record562 of the “second”patient992 by including one or morespecific indications935 thatprotocol120 was used for treatingcondition170 in one or moreprior patients250, with or without identifying any particular “first” patient250). This can occur, for example, in a context in whichprotocol120 is not yet established as the preferred treatment for treatingcondition170; in which the “first” and “second” patients have one or more attributes470 (gender471 orgeneral age472 orrace473, e.g.) in common; in which record562 identifies one or moresuch attributes470 but does not include other information that identifies the “first”patient250. In addition to such considerations relating to patient privacy, tracking such information may be helpful in relation to other regulatory considerations. Under the healthcare system in the United States, for example,Section4302 of Public Law111-148 (the “Patient Protection and Affordable Care Act,” sometimes called “Obamacare”) “[r]equires federally conducted or supported healthcare programs or surveys to collect and report demographic data, including ethnicity, sex, primary language, and disability status, as well as data at the smallest geographic level possible, such as state or local, etc.”
• Referring again toFIGS. 1 & 9, moreover, in some contexts acaregiver991 may determine a circumstance of the “second” patient falls into one or moreidentifiable exceptions740 to a general practice of treatingcondition170 with a moreconventional protocol140. In a context in which theconventional protocol140 is characterized by one or more generally preferreddrugs141 and associateddosages142, practice groups or facilities or modes (in-patient athospital201, e.g.), or frequencies of treatment (daily or weekly, e.g.), anunconventional protocol120 may be warranted for one or more reasons of cost difference741 (protocol140 being too expensive for continued use, e.g.); side effects742 (an allergy todrug141 or drug interaction risk, e.g.); past failure743 (having been ineffective for treatingcondition170 inpatient992, e.g.); or a documented preference744 (manifested by a waiver from “second”patient992, e.g.). In some variants, therefore, it may be preferable forconfiguration module323 to be operable for modifyingmedical record562 to includesuch exceptions740 in circumstance (optionally by queryingcaregiver991 for such information, e.g.).
• Extensive operation62 describes retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol (e.g. retrieval module925 requesting and providingmedical record562 in response to aremote requestor993 initiating a medical justification audit report765 indicating that the “second”patient992 underwent multiple in-patient treatments forcondition170 during separate hospital stays). This can occur, for example, in a context in whichoperations35 and43 had both been performed; in which the retrieval is “selective” insofar that each instance ofoperation62 retrieves less than all such records561-569,3191-3197 (of billing, e.g.); in whichcaregiver991 has reasonably and correctly relied upon theindication935 as precedent (that theparticular condition170 was treated in the “first”patient250 withprotocol120, e.g.) in her decision to recommend or administerprotocol120 to the “second”patient992 inhospital201; in which it is not self-evident that such administration was reasonable in the absence of thespecific indication935; and in whichprotocol120 is ultimately not permanently effective at eradicating theparticular condition170. In the event that the “second”patient992 is readmitted tohospital202 later for further treatment of theparticular condition170 and that such readmission would otherwise trigger a reduction in payment for the services ofcaregiver991 or ofhospital201, remembering and reacquiring the particular condition170 (or some other adequate justification) may become an onerous and crucial task. In some contexts, a medical justification audit report765 may include data764 (where available) supporting care decisions made on behalf of many individuals each of whom was readmitted (hospitalized more than once for a particular condition, e.g.). Alternatively or additionally, in some contexts, such an association776 (between the “second”patient992 and anindication777 of apparently-excessive institutional readmissions, e.g.) may be established by an electronic request771 (received fromremote requestor993 and directly invokingretrieval module925, e.g.). More generally, such actions taken with reference to one or more criteria are “selective” (as used inFIGS. 59-62 below, e.g.) if at least one of the criteria is used as a determinant in deciding which data components (records, e.g.) will not be included in or affected by the action.
• With reference now toFIG. 10, shown is another example of asystem10 in which one or more technologies may be implemented. One interface1001 (e.g. adesktop system841,941) is configured for use (e.g. by a physician, administrator, or other authorized entity1091) in entering and transmitting anorder1018 or other such content (of aprotocol130 orcondition170, e.g.) via one ormore networks1090 as described above. The one ormore networks1090 are also configured to contact entity1091 (usingcontact information720 for thesame interface1001 or anotherinterface1002 associated with the same entity1091, e.g.) under some conditions as described herein, such as to request an indication of the effectiveness of a treatment (protocol130, e.g.) that the entity might have tried or witnessed recently. In some contexts, this permits protocol data1090 (average evaluations1053 or use counts1054, e.g.) to be generated or updated (on various instance ofmedia105,405,505,605,705 innetwork1050, e.g.).
• With reference now toFIG. 16, shown is a high-level logic flow16 of an operational process.Intensive operation36 describes obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient (e.g. input module313 receiving arecord564 indicating that anorder1018 was placed for aparticular drug141 orprotocol140 prescribed or purchased for the treatment of aparticular condition170 in patient250). This can occur, for example, in a context in whichdevice305 includes one or more media105 (onnetwork1090, e.g.) bearing anaverage evaluation1053,use count1054, or other such quantifiedprotocol data1050 as described below (as adata component147 associated with theparticular condition170 and with theparticular drug141 orprotocol140, e.g.). In some contexts, moreover, input module may receive the indication as an inquiry into the prospect of treatingcondition170 with one ormore protocols130,140 and may record such inquiries inrecord564. Alternatively or additionally,input module313 andrequest module332 may be configured to performoperation36 jointly by initiating communication with someone generally familiar with the protocol140 (a nurse or pharmacist who can administer theparticular drug141 orprotocol140, e.g.).
• Extensive operation63 describes requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour (e.g. request module331 asking one or more entities1091 who validated the particular protocol for aneffectiveness indicator456 signaling how effective the particular protocol was for the treatment ofcondition170 in patient250). This can occur, for example, in a context in which an entity1091 signals one ormore validations701,702 of the treatment by prescribing, purchasing, administering, or authorizing theparticular drug141 orprotocol140 for the treatment ofcondition170 inpatient250 and in which one ormore data components127,137,147 definerespective communication delays542,543,544 so thatrequest module331 transmits a query (by telephone or e-mail, e.g.) to the entity1091 (practitioner or patient, e.g.) only after the treatment has probably failed or started to work. In a context in which a 10-day course of an antibiotic (asprotocol130, e.g.) would be expected to alleviate a fever (ascondition160, e.g.) in a few hours or days, for example, acorresponding communication delay543 of about 5 days (within an order of magnitude, e.g.) will be appropriate for obtaining a score455 (on a 0-5 scale, e.g.) orother effectiveness indicator456 as a delayed automatic response to the ordering or administration of the antibiotic. In less urgent contexts, moreover, an expected delivery time (in hours or days, e.g.) may be included for some of the communication delays541-544 (those for which adrug141 or other material component of aprotocol140 is delivered to a patient'shome289, e.g.). Alternatively or additionally,request module331 may be configured to send the same request to a particular entity1091 via more than oneinterface1001,1002 (using both ane-mail address721 and atelephone number722 associated with a single identified entity1091, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for transmitting queries or other information requests as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,073,013 (“Method and apparatus for collecting survey data via the internet”); U.S. Pat. No. 7,962,359 (“Method and system for collecting and disseminating survey data over the internet”); U.S. Pat. No. 7,836,073 (“Method and system for transmitting pre-formulated query to database”); U.S. Pat. No. 7,590,547 (“Method for transmitting an anonymous request from a consumer to a content or service provider through a telecommunication network”); U.S. Pat. No. 7,529,214 (“Mobile node for transmitting a request for information which specifies a transfer device to be used”); U.S. Pat. No. 6,807,532 (“Method of soliciting a user to input survey data at an electronic commerce terminal”); U.S. Pat. No. 6,513,014 (“Method and apparatus for administering a survey via a television transmission network”).
• Extensive operation67 describes signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol (e.g. statement module382 incrementing ause count1054 in response to receiving a Facebook-style “like” signal from apatient250 who used the protocol). This can occur, for example, in a context in which thepatient250 was the “entity” contacted in operation63 (viacontact information720, e.g.); in which thepatient250 was sent a request for such a “like” signal afterprotocol140 had enough time (to fail or start working, e.g.), in which a total count of such “like” signals is a “prominence indication” (ofprotocol140, e.g.), in which the communication delay and the “first” patient's identity are recorded but not published, and in which a new best practice could not otherwise win widespread recognition within a year of someone devising the practice. In some contexts, for example, a nurse or other care provider familiar with one ormore protocols120,130 (as they apply tocondition160, e.g.) can designate one or more corresponding delays (based on a success, when a difference is typically seen, or on a side effect onset or other symptom change distribution, e.g.). In a context in whichprotocol120 comprises a spinal fusion, for example, acorresponding delay2226 may be between 6 and 12 months. (SeeFIG. 22.) In a context in whichprotocol130 comprises administering an antihypertensive (forcondition170, e.g.), acorresponding delay2237 may be on the order of 1.0 months (within an order of magnitude, e.g.). Alternatively or additionally,statement module382 may performoperation67 by transmitting anaverage evaluation1053 computed based on effectiveness-indicativenumerical scores455 received from each of several entities1091. This can occur, for example, in a context in which multiple entities have each responded to a corresponding query573 (like “We need to know how effective you thought this treatment was on a zero-to-five scale . . . please press or say ‘5’ to indicate that the treatment was perfectly effective . . . please press or say ‘0’ to indicate that the treatment was completely ineffective,” e.g.) transmitted byrequest module331 and in which such an average (as a rolling or inception-to-date average, e.g.) is a “prominence indication” of the treatment or other protocol.
• With reference now toFIG. 11, shown is another example of a system11 (a subsystem of one or more networks described above, e.g.) in which one or more technologies may be implemented. Alocal unit1105 owned or used by acaregiver1191 may be configured to receive one ormore orders1018,1118 orother indications1126,1127,1136,1137 each comprising correspondingdata components126,127,136,137 that each relate to a corresponding specific combination of acondition160,170 andprotocol120,130 for its treatment, as shown. In some contexts, one or more servers1195 (residing in networks described herein, e.g.) or local circuitry may provide selective feedback (one ormore warnings1119, e.g.) relating to some such combinations (selected bycaregiver1191, e.g.).
• With reference now toFIG. 17, shown is a high-level logic flow17 of an operational process.Intensive operation37 describes obtaining an association between a particular condition and a first protocol (e.g. input module311 receiving arecord563 indicating that anorder1118 was placed for a particular drug orprotocol130 prescribed or purchased for the treatment of a particular condition160). This can occur, for example, in a context in which theprotocol130 includes administering prednisone daily by ingestion and in which theparticular condition160 is Bell's palsy, bone pain, carpal tunnel syndrome, muscular dystrophy, pulmonary fibrosis, or certain other off-label uses of prednisone. In some contexts, moreover,such protocols120,130,140 may include other drugs or non-medicinal components (physical therapy or surgery, e.g.). Moreoverinput module311 may, in some variants, be configured to be invoked by one or more queries571-574 or other structured dialogs (permitting anexpert system393 to interact with a physician orother caregiver1191 vialocal unit1105, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for searching for therapies or conditions that may apply to a patient as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,008,285 (“Droxidopa and pharmaceutical composition thereof for the treatment of fibromyalgia”); U.S. Pat. No. 8,005,687 (“System, method and computer program product for estimating medical costs”); U.S. Pat. No. 7,979,289 (“System and method for intelligent management of medical care”); U.S. Pat. No. 7,860,552 (“CNS assay for prediction of therapeutic efficacy for neuropathic pain and other functional illnesses”); U.S. Pat. No. 7,797,145 (“Animal health diagnostics”); U.S. Pat. No. 7,552,039 (“Method for sample processing and integrated reporting of dog health diagnosis”); U.S. Pat. No. 7,490,048 (“Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information”); U.S. Pat. No. 7,346,523 (“Processing an insurance claim using electronic versions of supporting documents”); U.S. Pat. No. 6,704,595 (“Automated method for diagnosing and monitoring the outcomes of atrial fibrillation”); and U.S. Pat. No. 6,014,626 (“Patient monitoring system including speech recognition capability”).
• Intensive operation44 describes causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained (e.g. invocation module373 triggeringcomparator391 to generate anoutput195 by comparing aprominence indication1136 with a threshold191). This can occur, for example, in a context in which one or more devices305 (includingmedia105,405,505,705, e.g.) reside inserver1195 and in whichresponse module351 selects thethreshold191 according to who initiates the association (as a function of auser identifier523 of aspecific caregiver1191 or caregiver type, e.g.) or to whatcondition160 orprotocol130 has been associated. In some contexts, for example, more esteemed caregivers or less hazardous conditions and protocols may warrant athreshold192 corresponding to a lower prominence (signaling less scrutiny and more latitude in the caregiver's choice of treatment protocols, e.g.). Alternatively or additionally,invocation module373 may trigger a comparison implemented in a formula (as a subtraction, e.g.). In some contexts, moreover, a less-prominent protocol may be requested by apatient250 or warranted by the patient's situation. Alternatively or additionally,invocation module373 may be configured to trigger a storage operation in which one or more instances ofprominence indications1136;thresholds191; comparison results; quantifications of reputation or scrutiny or latitude (characterizingcaregiver1191, e.g.); orother output195 are stored in one or more records569-569,671-675 as described herein (e.g. in a data component136-138,146-148 relating to an electedprotocol130,140).
• Extensive operation64 describes signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol (e.g. response module356 transmitting an “obscure treatment option” warning1119 tocaregiver1191 if thethreshold191 exceeds theprominence indication1136 and otherwise not transmitting any such warning). This can occur, for example, in a context in whichserver1195 is onseveral networks290,890,990; in which searchingvarious records archives820,920 can take several minutes or hours to determine aprominence indication1136; in whichlocal unit1105 includes an e-mail or other text message display capability operable to deliver such warnings; in which ahospital201 or field of practice uses a standard numerical threshold for all prominence indication comparisons; and in which thecaregiver1191 would otherwise select amongseveral protocols120,130 for the particular condition(s)160,170 without knowing which of them had recently become popular in the caregiver's field of practice. In a context in which highernumerical indications1126 signify more prominence and in which a threshold is set at 4, for example, such threshold may be met (sufficient to avoid triggering a cautionary message tocaregiver1191, e.g.) by determining either that 4 instances ofcondition160 had been treated with protocol120 (for an implementation incorporating ause count1054, e.g.) or that one or more entities indicated the effectiveness of treatingcondition160 withprotocol120 with an average evaluation of at least 4 (for an implementation incorporating anaverage evaluation1053, e.g.). Alternatively or additionally,response module356 may be configured to implement a conditional decision to caution acaregiver1191 with one or more of a font effect (a bolding or bright color selectively applied for lower-prominence therapies, e.g.), audible warning1119 (a tone, e.g.), or modal dialog box (displaying a message like “are you sure you want to order this unconventional treatment?” atlocal unit1105 before finalizingorder1118, e.g.).
• With reference now toFIG. 12, shown is another example of a system12 (e.g. a subsystem of one ormore networks290,890,990,1090,1290) in which one or more technologies may be implemented. A motor vehicle orother device1241 associated with a care administration space (alocation1204 inside or nearambulance1295 configured to permit one ormore caregivers1291 to treat apatient1292 in trauma, e.g.) may include one or more instances ofwireless transceivers1211,wall mountings1213,display screens1216, orcouplings1218 to external power. Also in some contexts, as described below,device1241 may be configured to obtain and present one or more medical records1217 (comprising one ormore data components126,128 relating to anemergency protocol120 or to aspecific patient1292 relayed viadisplay screen1216, e.g.). This can occur, for example, in a context in which awrist band1223 orother device1242 worn or held by patient1292 contains one or more implementations of conditional consent1222 (configured bypatient1292 prior to an emergency, e.g.) ortransponders1225 as described below.
• With reference now toFIG. 18, shown is a high-level logic flow18 of an operational process.Intensive operation39 describes obtaining an association between a care administration space and a first device (e.g. configuration module322 making arecord568 in which anidentifier734 of the “first”device242,1241 is associated with anidentifier732 of anambulance1295 orother location204 allocated to providingpatients250 medical care). This can occur, for example, in a context in which “first”device242,1241 includes a wall mounting1213 fixing it in relation to the care administration space; in which the “first” device includes awireless transmitter394 ortransceiver1211 detectable by a “second” device as described below; and in which the care administration space is defined by the effective range of thewireless transmitter394 ortransceiver1211. In some contexts, for example,such locations204 may include an emergency room or urgent care clinic. Alternatively or additionally, aregional server1195 or other stationary device innetwork1290 may be configured to obtainGPS data751 indicating a current position of anambulance1295 or other mobile care administration space that may then be compared withGPS data752 indicating a current position of a device held or worn by patient250 (e.g. throughnetwork1290 in lieu of direct wireless transmission betweenproximate devices1241,1242). In some contexts, moreover, the “first” device may comprise anexternal power coupling1218 configured to power the “first” device for an indefinite period (via a vehicle battery or similar source that is maintained daily, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for configuring a device for direct or indirect wireless communication as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,986,940 (“Automatic wireless network linking method with security configuration and device thereof”); U.S. Pat. No. 7,940,744 (“System, apparatus and method for automated wireless device configuration”); U.S. Pat. No. 7,929,950 (“Dynamically configurable IP based wireless device and wireless networks”); U.S. Pat. No. 7,916,707 (“Identity-based wireless device configuration”); U.S. Pat. No. 7,885,687 (“Device for updating configuration information in a wireless network”); U.S. Pat. No. 7,778,752 (“System for connecting a telematics device to a vehicle using a wireless receiver configured to transmit diagnostic data”); U.S. Pat. No. 7,681,231 (“Method to wirelessly configure a wireless device for wireless communication over a secure wireless network”); U.S. Pat. No. 7,643,828 (“Method and apparatus for fast link setup in a wireless communication system”); U.S. Pat. No. 7,616,594 (“Wireless device discovery and configuration”); and U.S. Pat. No. 7,233,745 (“Field device configured for wireless data communication”).
• Intensive operation46 describes obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device (e.g. input module315 receivingpre-emergency input551 from or about a patient492 that includes aconditional consent1222 permitting a release of the one or moremedical records567,1217 of the patient's to acaregiver991,1291 that is contingent upon the occurrence of an emergency). This can occur, for example, in a context in which the patient492 (who can, in some instances, be the same individual as one or more other identified patients depicted herein, e.g.) enters such pre-emergency input551 (by a menu selection, e.g.) using a handheld device (the “second”device1242, e.g.); in which the “occurrence of an emergency” is manifested as the “second” device entering the “care administration space” (e.g. location204,1204); and in which the authorization to release the “first” medical record would otherwise be much slower (due to trauma, e.g.). In some contexts, for example, the “first” device may be configured to include one ormore media105,505 bearing such contingently-releasablemedical records1217 for most or all registeredpatients992,1292 (patients enrolled inregistry109, e.g.) in a region (county or state, e.g.) so that the “first” and “second”devices1241,1242 may easily interact directly and locally (not vianetwork1290, e.g.) with or withoutnetwork1290 being online. Alternatively or additionally, the “second” device may include awrist band1223 wearable by an at-risk patient1292 (e.g. one suffering from dementia, epilepsy, or other medical conditions that make it more likely that a patient may be unable to consent to a records transfer).
• Extensive operation66 describes invoking circuitry for causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record (e.g. invocation module372 causingdisplay screen1216 ofdevice1241 to displaymedical record1217 as an automatic response to the “second”device1242 entering the care administration space and partly based on the prior configuration of above-described conditional consent1222 (inoperation46, e.g.). In some contexts, for example, such configuration may have been implemented by anon-emergency caregiver991 who provides the patient with the “second”device1242. Alternatively or additionally, in some contexts, a local entity (ahospital201 or ambulance company, e.g.) may own the first device, a patient may own the second device, and a third entity may own the invoked “circuitry.”
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for identifying wireless devices in a region of interest as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,903,905 (“Pen-shaped scanning device having a region identity sensor”); U.S. Pat. No. 7,869,807 (“Method of managing a code identifying a wireless device with conflict minimized in a wireless telecommunications system”); U.S. Pat. No. 7,319,876 (“System and method for using equipment identity information in providing location services to a wireless communication device”); U.S. Pat. No. 7,295,120 (“Device for verifying a location of a radio-frequency identification (RFID) tag on an item”); U.S. Pat. No. 6,791,477 (“Method and apparatus for identifying waypoints and providing keyless remote entry in a handheld locator device”); U.S. Pat. No. 6,693,512 (“Device location and identification system”); and U.S. Pat. No. 6,392,747 (“Method and device for identifying an object and determining its location”).
• With reference now toFIG. 13, shown is another example of a system13 (e.g. a subsystem of one ormore networks290,890,990,1090,1290) in which one or more technologies may be implemented. As shown,caregiver1391 wears a device1342 (on a lanyard orclothing1349, e.g.) configured to include acaregiver identifier1332 that identifies her. Likewise patient1331 wears adevice1341 configured to include apatient identifier1331 that identifies him (on a gown orwrist band1223, e.g.). In some variants, suchwearable devices1341,1342 are configured to interact wirelessly (either with one another or with a wall-mounteddevice1343, e.g.) as an automatic response to being in a common location (e.g. atlocation1204,1304).
• With reference now toFIG. 19, shown is a high-level logic flow19 of an operational process.Intensive operation38 describes obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition (e.g. configuration module322 associating aspecific patient1392 with apatient identifier1331 on an article wearable by apatient1392 who has been admitted tohospital201 for aspecific pathology181 or complaint513). This can occur, for example, in a context in which the article (awrist band1223, e.g.) is assigned to patient1392 upon checking in to the hospital; in whichconfiguration module322 was invoked at that time (at patient intake, e.g.); and in which one or more instances ofdevice305 reside on one or more networks described herein (in a wall-mounteddevice1343 orserver1195 ofhospital201, e.g.). Alternatively or additionally, astationary device1343 may performoperation38 by detecting adevice1341 associated with patient1392 in a given location1304 (entering his hospital room, e.g.).
• Intensive operation41 describes obtaining an indication of a second device associated with and wearable by a caregiver (e.g. configuration module321 associating aspecific caregiver1391 with acaregiver identifier1332 on an article wearable by the caregiver). This can occur, for example, in a context in which the article (on a badge or lanyard or in a wrist band or article ofclothing1349, e.g.) was assigned tocaregiver1391 upon arriving at the facility and in whichconfiguration module321 was invoked at that time. Alternatively or additionally, a stationary device1343 (mounted on a wall, e.g.) may performoperation41 by detecting adevice1342 associated withcaregiver1391 in a given location1304 (entering her patient's hospital room, e.g.).
• Intensive operation45 describes causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location (e.g.configuration module324 storing atimestamp711 indicating when bothcaregiver1391 and patient1392 were together in location1304). This can occur, for example, in a context in which timestamp711 is generated from adigital clock392; in which record710 is initially aggregated at one or more devices1341-1343 locally, in which one ormore records archives820,920 later receivedrecord710 in a batch data aggregation process, and in which the “single common location” is a hospital room or a detection range of one or more devices1341-1343. In some implementations, for example,device1341 may include one or more configuration modules321-326 as described herein and may be configured to performoperations38,41, and45 (in lieu ofdevice1343, e.g.). Alternatively or additionally, in some variants,device1342 may likewise include one or more configuration modules321-326 as described herein and may be configured to implement device305 (e.g. operable to performoperations38,41, and45).
• Extensive operation65 describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location (e.g.response module352 retrieving arecord710 includingsuch timing data453 from one ormore records archives820,920 in response to arequest581 indicative of patient1392 being readmitted to one ormore hospitals201,202 for the samespecific pathology181 or complaint513). This can occur, for example, in a context in which such readmission for the particular condition would otherwise trigger a reduction in payment for one or more prior hospitalizations. In some contexts, for example, one or moreremote requestors893,993 may have initiated a prior instance of operation65 (performed by a remote instance ofinvocation module371, e.g.) in which an entity'srequest581 for records included a readmission-indicative report type521 (having a name that includes “readmission,” e.g.), a readmission-indicative request authorization522 (from an agency that monitors excessive readmissions, e.g.), a query reciting or prompted by readmission, or other such explicit orimplicit indications525 of readmission that might have been avoidable if a prior hospitalization or treatment had been executed correctly. Alternatively or additionally,response module352 may be configured to performoperation65 by retrieving and transmitting such a timestamp-containing record710 (indicative of when the first andsecond devices1341,1342 were both in the singlecommon location1304, e.g.) to one or moreremote requestors893,993.
• With reference now toFIG. 20, shown is context in which one or more technologies may be implemented.System2000 may include two ormore devices2005,2015 having alinkage2011 therebetween as described herein. In various embodiments,device2005 may include one or more instances oflookup modules2021,2022; updatemodules2028,2029;detection modules2041,2042,2043,2044,2045,2046;cameras2053 orother sensors2054; orprocessors2055 as described below. Alternatively or additionally,device2005 may comprise a machine2030 (configured for vending or other dispensations ofdrugs141, foods, orother goods691, e.g.); a battery or other on-board power supply2058; or one or more speakers2057 (configured to manifest awarning1119 orother audio data2257 as described below, e.g.). In various implementations,device2015 may likewise include one or more instances of food containers (refrigerators orcupboards2071, e.g.); actuators2072 (of a dispenser, e.g.); exercise machines2073 (relating to one or more regimens2331-2339, e.g.); handhelds2074 (telephones, e.g.); detectable structures2075 (transponder or barcode, e.g.);adhesives2077;wristbands2078; orbuttons2079. Alternatively or additionally,device2015 may comprise medical equipment2080 (devices configured for imaging or measurement, e.g.). One or more ofdevices2005,2015 may be configured to implement an instance ofdevice305 and to include one or more media depicted herein. SeeFIGS. 1,4-7 and21-26.
• With reference now toFIG. 21, shown is context in which one or more technologies may be implemented.System2100 includes one or more data-handling media2105 (residing in an instance ofdevice305, e.g.) operably coupled with one ormore search engines2198 on the various networks described herein.Medium2105 may include one or more instances of search terms2110 (e.g. comprisingcriteria2101,2102);names2111,audit identifiers2112, or othersuch indications2113; search results2130;values2161,2162; orqueries2171,2172 as described below.
• With reference now toFIG. 22, shown is context in which one or more technologies may be implemented. System2200 may (optionally) include one or more data-handling media2205 (configured to transmit or store data, e.g.) residing in an instance ofdevice305 or otherwise on anetwork290 as described above. In some variants, medium2205 may bear one or more instances of zone description data2217 (e.g. representing one ormore service zones207,208 orother locations204,1204,1304);data components126,127,136,137 (in tabular form, e.g.);reports2243,2244,2245;requests2246;signals2251,2252,2253,2254 (comprisingaudio data2257 or other encodeddata2258, e.g.); search terms2280 (comprising one ormore text strings2281,2282,2283 connected by logical operators, e.g.); messages2290 (comprisingphone calls2291,text2292, andannotations2293 as described below, e.g.); andhyperlinks2296,menu options2297, or other such controls2295 (comprising one ormore interfaces1001,1002 or other devices described above, e.g.). In some contexts, data component126 (as described above) may include one ormore delays2226 corresponding specifically to the handling ofcondition160 withprotocol120; data component127 (as described above) may include one ormore delays2227 corresponding specifically to the handling ofcondition170 withprotocol120; data component136 (as described above) may include one ormore delays2236 corresponding specifically to the handling ofcondition160 withprotocol130; and data component137 (as described above) may include one ormore delays2237 corresponding specifically to the handling ofcondition170 withprotocol130. Moreover in some variants each instance ofaudio data2257 may include one ormore timestamps711 as well as other data712 (transcripts or labels of patient interview clips, recorded physician remarks, concurrentdiagnostic data490, or other events encoded astext2292 orother annotations2293 relating to raw auditory data with which they are archived, e.g.).
• With reference now toFIG. 23, shown is context in which one or more technologies may be implemented. System2300 may include one or more data-handling media2305 (configured to transmit or store data, e.g.) residing in an instance ofdevice305 or otherwise on anetwork290 as described above. In some variants, medium2305 may bear one or more instances of triggers2301,2302,2303,2304; countdown timers2310; results2311,2312,2313,2314,2315; conditions2321,2322,2323,2324,2325,2326,2327,2328,2329; regimens2331,2332,2333,2334,2335,2336,2337,2338,2339; indications2341,2342,2343,2344,2345,2346,2347,2348,2349; terms2351,2352,2353; patterns2361,2362,2363,2364,2365,2366; prompts2371,2372,2373,2374,2375,2376,2377,2378,2379; coordinates2381,2382; or other such user interaction content or programmatic determinants2391,2392,2393,2394,2395 affecting automatic decisions as described herein.
• With reference now toFIG. 24, shown is context in which one or more technologies may be implemented.System2400 may include one or more data-handling media2405 (configured to transmit or store data, e.g.) residing in an instance ofdevice305 or otherwise on anetwork290 as described above. In some variants, medium2405 may bear one or more instances ofmaps2423 or similar positional graphics;screen displays2426 or ink-printedsurfaces2427;protocols2440 or other task lists2445 (comprising one ormore time intervals2545 associated with one ormore tasks2441,2442,2443,2444, e.g.);thresholds2451,2452,2453,2454,2455,2456;responses2458,2459;performance metrics2461,2462,2463,2464;inputs2471,2472,2473,2474; orother indications2481,2482,2483,2484,2485,2486,2487,2488,2489 (as user interaction content or programmatic determinants affecting automatic decisions as described herein, e.g.).
• With reference now toFIG. 25, shown is context in which one or more technologies may be implemented.System2500 may include one or more data-handling media2505 (configured to present or otherwise transmit data, e.g.) residing in an instance ofdevice305 or otherwise on anetwork290 as described above. In some variants, medium2505 may bear one or more instances ofdesignations2501,2502;decisions2508,2509;orders2511,2512,2513,2514,2515,2516; biometric data2540 (comprising afingerprint pattern2531 oraudible pattern2532, e.g.);intervals2541,2542,2543,2544,2545;indications2551,2552,2553,2554,2555,2556,2557,2558,2559;signals2561,2562,2563,2564,2565; orimages2575,2576,2577,2578,2579,2580 (comprisingrespective image portions2581,2582,2583 and a remainder, e.g.).
• With reference now toFIG. 26, shown is asystem2600 in which one or more technologies may be implemented.System2600 may include one ormore incentives2640 represented or manifested (as voltage levels or magnetization states comprising digital expressions, e.g.) on magnetic orother storage media2652,display media2654,transmission media2656, orother media2605. In some contexts, such expressions may explicitly associate an actual (accomplished) orprospective incentive2640 that is physical and tangible: a card or other device-readable medium granting a membership or other temporary access for one ormore increments2611,2612,2613 of time; cash or other certificates indicative ofpoints2616,credits2617 or other physical media of exchange; medications, nutritional supplements, exercise equipment, or other goods transferred as payments inkind2618; or othersuch resources2619 directly manifesting a physical,tangible benefit2620 as (at least part of) the incentive. Alternatively or additionally, such incentives can include one or more discounts orother terms2631,2632 orconditions2634,2635;performance ratings2638 orfavorable referrals2641,2642; policies, rebates, orother eligibilities2646,2647; or supplemental therapies or othersuch services2648. In some contexts, as exemplified below, a combination of such incentives may be necessary or helpful for motivating qualified patients to comply with a testing or treatment regimen2331-2339 or for motivating others to explain or otherwise facilitate an individual's participation or enrollment in a testing or treatment program. Alternatively or additionally, one or more of the above-described devices may include medium2605 and may access or be accessed by anetwork2690. In some contexts, for example, aportable computer2670 orsimilar user interface1001 residing innetwork2690 may comprise one ormore outputs2671 or inputs2672 (operable for entering or accessing one or more orders2511-2516 or other user data, e.g.) as shown.
• In light of teachings herein, numerous existing techniques may be applied for identifying and administering tangible or other incentives effectively to motivate individuals to suggest or elect products or programs as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,739,115 (“Script compliance and agent feedback”); U.S. Pat. No. 7,668,747 (“System and method for providing incentives to purchasers”); U.S. Pat. No. 7,653,594 (“Targeted incentives based upon predicted behavior”); U.S. Pat. No. 7,624,051 (“Method and system for forming a list-based value discovery network”); U.S. Pat. No. 7,555,444 (“Dynamic time-of-purchasing-decision incentive system and method”); U.S. Pat. No. 7,433,834 (“Apparatus and method for facilitating transactions”); U.S. Pat. No. 7,389,245 (“Method and apparatus for providing incentives to physicians”); U.S. Pat. No. 7,376,700 (“Personal coaching system for clients with ongoing concerns such as weight loss”); U.S. Pat. No. 7,373,318 (“Information recommendation apparatus and information recommendation system”); U.S. Pat. No. 7,016,854 (“Loyalty link method and apparatus with audio performance for integrating customer information with dealer management information”); U.S. Pat. No. 6,988,132 (“System and method for identifying and establishing preferred modalities or channels for communications based on participants' preferences and contexts”); U.S. Pat. No. 6,952,678 (“Method, apparatus, and manufacture for facilitating a self-organizing workforce”); U.S. Pat. No. 6,901,347 (“Availability, reliability or maintainability index including outage characterization”); U.S. Pat. No. 6,739,508 (“Evaluation apparatus with voting system, evaluation method with voting system, and a computer product”); U.S. Pat. No. 6,699,124 (“Amusement game incentive points system”); U.S. Pat. No. 6,561,811 (“Drug abuse prevention computer game”); and U.S. Pat. No. 5,537,314 (“Referral recognition system for an incentive award program”).
• With reference now toFIG. 27, shown is anetwork2790 having wireless signal paths or othersuitable linkages2706,2726,2756,2776 providing access among several parties. An insurer, policymaker, program enrollment coordinator, orsimilar service provider2710 may have access through acontrol unit2705, for example, implementing a local display module orother media2605 as described herein. One ormore support technicians2761, program enrollment coordinators, or othersuch agents2762 may similarly access or provide data throughnetwork2790 via servers orother response units2755 implementingmedia2605.Individuals2782 prospectively or actually participating in a therapeutic or monitoring regimen2331-2339 as described herein may similarly communicate with others onnetwork2790 via a portable or otherlocal interaction unit2775.Material providers2781 or care providers2783 having regular opportunities to interact personally withsuch individuals2782 may likewise havelocal interaction units2775 operable for indicating compliance, enrollment, or similar events to be tracked pursuant to therapeutic components (products or other requirements of a prescribed regimen, e.g.) orartificial incentives2640 as described herein. Alternatively or additionally, correspondence or incentive deliveries to one ormore beneficiaries2721 orother recipients2722 may occur automatically via one ormore delivery units2725 as described herein. Anysuch control units2705,delivery units2725,response units2755, orinteraction units2775 may (optionally) include one ormore storage media2652,display media2654,transmission media2656 or other modules indicating, delivering, or otherwise manifesting one or more (artificial)incentives2640 as described herein. In some variants, moreover, such devices ornetworks2790 may include one or more invocation modules371-374,2795 (for facilitating one or more flows, e.g.) as described herein.
• With reference now toFIG. 28, shown is asystem2800 in which one or more technologies may be implemented. Abottle2883,capsule2884, orother vessel2890 may include one ormore plungers2862, slidable orother covers2861,buttons2863, removable caps, orother actuators2870. Such administration detection features2880 may be configured effectively to permit one or moreprimary modules2810 to monitor administrations (of a therapy, e.g.) within a vicinity of avessel2890, transdermal delivery device, iontophoretic device, patch with microprotrusions, dispenser, or other such object (variants of articles depicted below inFIGS. 29-47, e.g.). In some variants, for example, one ormore transmitters2876 on such dispensers permit periodic or occasional notifications (via a wireless orother coupling2855 with aprimary module2810, e.g.) of such administrations (detected via one ormore sensors2877 of thevessel2890, e.g.) or a remaining quantity of material (nominally or actually) available for dispensation. Alternatively or additionally, a colorant orother marking component2879 permits direct optical or auditory monitoring (of a vessel or material, e.g.) within a vicinity of the dispenser or of arecipient2722 of the therapy. Such systems may likewise include or otherwise interact with avessel2890 or other object containing one or more bioactive materials or other therapeutic components: medications, nutraceuticals, placebos, inhalants, inoculants or other such materials.
• In some variants, a service delivery unit may include one or moreprimary modules2810 having one or more instances ofincentive negotiation modules2820,recording systems2830,user interfaces2840,regimens2847, administration detection modules2848, modules for conditioning an incentive upon compliance with aregimen2849, or administration detection features2880 as described herein. In some contexts, for example,incentive negotiation module2820 may handle one or more instances ofsignals2816 indicative of one ormore incentives2811,2812. Alternatively or additionally, such a module may handle one ormore signals2817 indicative of enrollment certification orsignals2818 indicative of informed consent (from an individual participating in a program described herein, e.g.).Recording system2830 may include acamera2832 or other sensor2833 (capable of capturing avisual record2836 orother data record2835 confirming an administration or other relevant event as described herein, e.g.). Anauditory sensor2834 may likewise capture anaudio record2837 orother data record2835 confirming a notification, enrollment, acceptance, transfer, or other relevant event as described herein. See also U.S. patent application Ser. No. 13/066,444 (“Cost-effective resource apportionment technologies suitable for facilitating therapies”).
• With reference now toFIG. 29, shown is asystem2900 in which one or more technologies may be implemented. Local event-sequencing logic2905 (comprisingcontrol unit2705 orinteraction unit2775, e.g.) may be configured to interact with or monitor or otherwise detect one ormore articles2910 having anRFID transponder397 or ink-printedsurface2427 or other device-readable feature (barcode2918, e.g.). As variously described above, for example, such articles may comprise apatient identifier1331,caregiver identifier1332, wearable article (wristband2078, e.g.), or other such device or system. In some contexts, moreover,article2910 may comprise adevice2005 that includes one ormore cameras2053 orother sensors2054 or special-purpose circuitry (for remote interaction vianetwork290, e.g.) as described herein. Alternatively or additionally, local event-sequencing logic2905 may itself comprise one or more instances of special-purpose transistor-basedcircuitry2961,2962,2963 configured to provide a Boolean indication whether or not a patient needing a particular regimen has been admitted to a qualifying institution; special-purpose transistor-based circuitry2971 configured to select a playable prompt in response to input from or about a patient; or special-purpose transistor-basedcircuitry2972 configured to associate an individual with a regimen. Alternatively or additionally, local event-sequencing logic2905 may comprise one or moreregimen compliance determinations2986 or other compliance-positive indications2987;regimen noncompliance determinations2988 or other compliance-negative indications2989; or othersuch data distillations2980 as described herein (with reference to media, e.g.) atFIG. 1,4-7, or21-26 or in U.S. patent application Ser. No. 13/199,051 (“Systematic distillation of status data relating to regimen compliance”).
• With reference now toFIG. 30, shown is a system3000 in which one or more technologies may be implemented. Local event-sequencing logic3005 (operably coupled with and local to event-sequencing logic2905, e.g.) may be configured to interact with a sample tester3060 (configured to perform a compliance-monitoring or other diagnostic test upon a blood or other fluid sample from a patient, e.g.) or othermedical equipment2080 residing innetwork3090. As variously described herein, for example, such tests may be required by one or more regimens2331-2339 or orders2511-2516 (prescribed or placed by a physician or other care provider2783, e.g.). In some contexts, moreover, local event-sequencing logic3005 may be configured to receive measurements or other results from sample tester3060 (as determinants2391-2395 or other indications2341-2349 relating to decisions described herein, e.g.). Alternatively or additionally, local event-sequencing logic3005 may comprise one or more instances of special-purpose transistor-basedcircuitry3035 configured to associate one or more tasks with a time interval; special-purpose transistor-basedcircuitry3041,3042,3043,3044 configured to generate a Boolean indication whether or not an individual is compliant with a regimen; special-purpose transistor-based circuitry3051 configured to generate a Boolean indication whether or not a patient and a medical device are in proximity; special-purpose transistor-basedcircuitry3052 configured to recognize a person depicted in a portion of an image; or other relevant data as described herein with reference toFIG. 1,4-7, or21-26.
• With reference now toFIG. 31, shown is asystem3100 in which one or more technologies may be implemented. Local event-sequencing logic3105 (operably coupled with and local to local event-sequencing logic2905, e.g.) may be configured to access one or more records3191-3197 residing (remotely, e.g.) innetwork3190. As variously described herein, for example, such records may include medical history data or other background data (provided by or useful tomaterial providers2781 or care providers2783, e.g.). Alternatively or additionally, local event-sequencing logic3105 may comprise one or more instances of special-purpose transistor-based circuitry3115 configured to recognize a response after a prompt is played to an individual; special-purpose transistor-basedcircuitry3121,3122,3123 configured to receive a scalar indication of how well an individual has complied with a regimen; special-purpose transistor-basedcircuitry3131 configured to configured to permit an individual to select among two or more portions of an image; or special-purpose transistor-basedcircuitry3132 configured to record an assignment of a resource as an automatic and conditional response as described below.
• With reference now toFIG. 32, shown is asystem3200 in which one or more technologies may be implemented. Local event-sequencing logic3205 (resident indelivery unit2725 orinteraction unit2775, e.g.) may be configured to monitor or control a portable material dispenser3270 (configured to perform a compliance-monitoring or incentive implementation task described below, e.g.) or both. As variously described herein, for example, such tasks may signify a component of regimen compliance (dispensing adrug141 on time, e.g.) or may manifest an incentive (candy dispensed as a payment inkind2618 for enticing a patient or provider to cooperate, e.g.). Alternatively or additionally, local event-sequencing logic3205 may comprise one or more instances of special-purpose transistor-basedcircuitry3261 configured to provide a Boolean indication whether or not an order associates a patient with a medical device; special-purpose transistor-based circuitry3262 configured to cause a countdown timer to progress; special-purpose transistor-based circuitry3271 configured to notify an individual of an artificial incentive in response to a noncompliance indication; or special-purpose transistor-basedcircuitry3273,3274 configured to provide a Boolean indication whether or not an individual is available as described herein. SeeFIG. 34.
• With reference now toFIG. 33, shown is asystem3300 in which one or more technologies may be implemented. In some variants, medical device configuration logic3305 (operably coupled with one or more instances of event-sequencing logic described above, e.g.) may be configured to control one or more instances of an electrical or electromechanical disablement feature3365 (avalve3361 or fuse orlatch3362 configured to enable/disable a primary function ofmedical equipment2080 or other devices depicted herein, e.g.) innetwork3390. As variously described herein, for example, such features may prevent a dispensation or other material transfer under some circumstances as described below. In some contexts, moreover, medical device configuration logic3305 may be configured to display or otherwise transmit decisions, determinants, and user data via one or more media (depicted atFIG. 1,4-7, or21-26, e.g.). Alternatively or additionally, medical device configuration logic3305 may comprise one or more instances of special-purpose transistor-basedcircuitry3311 configured to route an individual to a particular destination as an automatic and conditional response; special-purpose transistor-basedcircuitry3313,3314 configured to initiate an electronic intercommunication between individuals as an automatic and conditional response; special-purpose transistor-basedcircuitry3316,3317 configured to cause a wearable article to indicate a data component as an automatic and conditional response; special-purpose transistor-basedcircuitry3318 configured to retrieve and present medical data about a particular patient as an automatic and conditional response; special-purpose transistor-basedcircuitry3322 configured to compute an arithmetic combination of scalar indications; special-purpose transistor-based circuitry3325 configured to transmit a Boolean indication whether or not a deadline was met; special-purpose transistor-basedcircuitry3327 configured to enable a medical device selectively in response to a combination of indications; or special-purpose transistor-basedcircuitry3328,3329 configured to authorize a dispensation if one or more specific conditions are met and otherwise generally not to authorize the dispensation. As explained below, moreover, some or all such logic may be configured to respond to device-detectable environmental or remote data irrespective of real-time local user input. SeeFIGS. 48-62.
• With reference now toFIG. 34, shown is asystem3400 in which one or more technologies may be implemented (in a server or other network subsystem, e.g.). In some variants,primary unit3405 may comprise one or more instances of global positioning system (GPS) modules3420 (configured to generate coordinates2381,2382 in some variants, e.g.),search bots3421,data distillation modules3422,clip capture modules3426,speech recognition modules3427, or text-to-speech translation modules3428. Such modules may reside in one or more application-specific integrated circuits (ASICs), for example, or in ageneral purpose processor2055 configured to execute special-purpose software (within adevice305 or system described above, e.g.). Alternatively or additionally,primary unit3405 may implement a channel or other structure (comprising alinkage2011 between devices, e.g.) within which one ormore intercommunications3441,3442,3443 (comprising acall3431,session3432,dialog3433, or other bidirectional communication as described herein, e.g.) may exist as described below. In some variants, moreover, such logic may comprise one or moreelectrical nodes3472,3473,3474,3475,3476,3477,3478,3479,3480,3481,3482,3483,3484,3485,3486,3487,3488,3489 (each expressing a yes-or-no decision or other Boolean value, e.g.). In some contexts, for example, such nodes may each comprise a forked or other signal path adjacent one or more logic gates, for example, the Boolean value manifested as either a “low” or “high” voltage according to a complementary metal-oxide-semiconductor (CMOS), emitter-coupled logic (ECL), or other common semiconductor configuration protocol.
• With reference now toFIG. 35, shown is asystem3500 in which one or more technologies may be implemented. In some variants, interaction unit3505 (implemented local to an individual2782 orservice provider2710, e.g.) may be configured to communicate via one or more instances of asatellite3593 or other remote communication device in network3590 (to one or more other networks described herein, e.g.). In some contexts,such interaction units2775 may comprise one or more sensors3506 (such as amicrophone3508, e.g.) orspeakers3509 or other components operable for handling data3507 (for or from a patient, e.g.). Alternatively or additionally,interaction unit3505 may comprise one or more instances of special-purpose interface modules3511,3512,3513,3514,3515,3516;selection modules3531,3532,3533,3534; or triggeringmodules3551,3552,3553,3554,3555,3556 as described below. As explained below, moreover, some or all such logic may be configured to respond to device-detectable environmental or remote data irrespective of real-time local user input. SeeFIGS. 48-62.
• With reference now toFIG. 36, shown is asystem3600 in which one or more technologies may be implemented. In some variants, response unit3605 (implemented local to atechnician2761 or care provider2783, e.g.) may be configured to interact with an article2910 (asample tester3060 ordispenser3270 orother device305 with adisablement feature3365, e.g.) in or vianetwork3690. In some variants such articles may comprise a disposable item3695 (asyringe3691 orinhaler3692 orinfusion bag3693 configured to be used only once, e.g.). Alternatively or additionally,response unit3605 may comprise one ormore input modules3621,3622,3623,3624,3625,3626,3627,3628;response modules3661,3662,3663,3664;communication modules3681,3682 or other control circuitry as described below.
• With reference now toFIG. 37, shown is asystem3700 in which one or more technologies may be implemented. In some variants, acomputer2670 or other data-handlingdevice3705 may comprise one ormore configuration modules3701,3702,3703,3704;detection modules3741,3742,3743,3744,3745,3746 (implementing acomparator391 configured to apply one or more patterns2361-2366, e.g.);computation modules3771,3772,3773,3774; orauthorization modules3791,3792,3793,3794 as described below. In some contexts, for example, data-handlingdevice3705 may be implemented in a handheld device305 (operably coupled to anearpiece3749 or other wearable output device, e.g.) that also includes one ormore cameras3707 or other input devices (microphone3708, e.g.) accessible to user3780. Moreover such implementations may have particular utility in an institutional setting (comprising astationary device3760 mounted in a ceiling of ahallway3709, e.g.). SeeFIG. 38.
• With reference now toFIG. 38, shown is an example of a data-handling device3805 (worn or carried by auser3880 in anursing home3802, e.g.) operably coupled (through a wireless or other linkage, e.g.) with one ormore networks3890 described herein. In some contexts, for example,tabular data3820 resident (on a server, e.g.) onnetwork3890 may (optionally) include several records3831-3834 each of which includes one ormore status indicators3842 or history data3843 (or both) designated by one or more record-designating patterns3841 (uniquely identifying each respective record, e.g.). In some variants data-handlingdevice3805 may include one ormore badges3851,bandages3852,identification tags3853, orother positioning structures3860 and may include one ormore diagnoses3867,categories3868, or other indications3870 (relating touser3880 as ahealthcare recipient2722, e.g.). Alternatively or additionally data-handlingdevice3805 may comprise anunpowered article2910 with a barcode or other passive feature readable by local event-sequencing logic2905 or other circuitry described herein.
• With reference now toFIG. 48, shown is a high-level logic flow4800 of an operational process.Intensive operation93 describes obtaining an association between data indicating a current health status of a first individual and a record designator (e.g. interface module3513 creating or updating aspecific record3831 associating one or more patienthealth status indicators3842 with one or more record serial numbers, patient names, orother data patterns3841 that serve to designate that specific record3831) This can occur, for example, in a context in whichuser3880 is the “first” individual; in which each of thepatterns3841 within availabletabular data3820 uniquely identifies a corresponding one of the records3831-3834; in which some or all of thestatus indicators3842 include a test result2315,image2578, data distillation2980 (diagnosis3867, computednegative indication2989 of regimen compliance, evaluation, orpatient category3868 assigned or entered by a physician or other care provider2783, e.g.), or otherhealth status indication3870 that is “current” (at most about a week old and not superseded by a newer item of the same type, e.g.); and in which one or more such records3831-3834 may also include medical history data3843 (non-current indicia, e.g.) pertaining to the first individual. This can occur, for example, in a context in whichinterface module3513 comprises a telephone menu or website (accessed using ahandheld interface1002, e.g.) via which one or more other users3780 (caregivers, e.g.) may provide various information as described herein (with reference to media of FIGS.21-26, e.g.) thatinterface module3513 then stores as tabular data3820 (on a network server, e.g.) indexed byrespective designation patterns3841.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for managing the accounting for a hospital or other medical provider as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,065,162 (“Provider data management and claims editing and settlement system”); U.S. Pat. No. 7,962,350 (“Payment of health care insurance claims using short-term loans”); U.S. Pat. No. 7,860,732 (“Medicare pharmacy calculator II”); U.S. Pat. No. 7,827,234 (“Privacy entitlement protocols for secure data exchange, collection, monitoring and/or alerting”); U.S. Pat. No. 7,805,318 (“Using a non-profit organization to satisfy medicare out-of-pocket/troop and product replacement”); U.S. Pat. No. 7,464,043 (“Computerized method and system for obtaining, storing and accessing medical records”); U.S. Pat. No. 7,433,827 (“System and method for displaying a health status of hospitalized patients”); U.S. Pat. No. 7,263,493 (“Delivering electronic versions of supporting documents associated with an insurance claim”); U.S. Pat. No. 6,655,545 (“Medical code system”); and U.S. Pat. No. 6,000,828 (“Method of improving drug treatment”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for retrieving data based on a medical condition as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,844,470 (“Treatment order processing system suitable for pharmacy and other use”); U.S. Pat. No. 7,739,126 (“Method, system, and computer program product for physician efficiency measurement and patient health risk stratification”); U.S. Pat. No. 7,707,047 (“Method and system for generating personal/individual health records”); U.S. Pat. No. 7,664,659 (“Displaying clinical predicted length of stay of patients for workload balancing in a healthcare environment”); U.S. Pat. No. 7,640,175 (“Method for high-risk member identification”); U.S. Pat. No. 7,624,027 (“Method and system for automated medical records processing”); U.S. Pat. No. 7,613,620 (“Physician to patient network system for real-time electronic communications and transfer of patient health information”); U.S. Pat. No. 7,444,291 (“System and method for modeling of healthcare utilization”); and U.S. Pat. No. 6,266,645 (“Risk adjustment tools for analyzing patient electronic discharge records”).
• Extensive operation55 describes causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator (e.g. triggering module3554 transmitting a status-indicative wireless signal2563 to data-handlingdevice3805 if and only if adetection module3746 detects one or morerecognizable patterns3841 ofuser input2473 from user3880). This can occur, for example, in a context in which one ormore interface modules3513 innursing home3802 include or are operably coupled withdetection module3746; in whichdetection module3746 is configured to determine whether or not user input2473 (auditory, optical, keyed, or other data entered by a user, e.g.) includes any instances of apattern3841 designating one of the active records3831-3834 of availabletabular data3820; in which data-handlingdevice3805 is configured to store anystatus indicator3842 received from triggeringmodule3554; and in which status-indicative customization of wearable articles would otherwise incur unnecessary delay or user participation. In some contexts, such devices may be configured to be activated by coming into contact with (the skin of)user3880 and to detect whether it has ever been removed since activation. Alternatively or additionally, data-handlingdevice3805 may indicate the “current health status” by virtue of a (passive or other radio frequency or ultrasound) identification tag3853 (previously customized, e.g.) wirelessly detectable by a data handling device in the same vicinity (withinhallway3709, e.g.). In some contexts, moreover,invocation module2795 may be configured to coordinateflow4800 automatically (without further input from any user local to the wearable article, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for permitting an identification of a person by a wearable article as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,068,008 (“Emergency responder credentialing system and method”); U.S. Pat. No. 8,049,597 (“Systems and methods for securely monitoring an individual”); U.S. Pat. No. 8,039,093 (“Method for preparing tamperproof ID documents”); U.S. Pat. No. 7,988,043 (“Fraud prevention in issuance of identification credentials”); U.S. Pat. No. 7,979,286 (“Patient-interactive healthcare management”); U.S. Pat. No. 7,975,913 (“Discernment card and a discernment card business system using the discernment card”); U.S. Pat. No. 7,481,370 (“Removable patient identification strap for blood recipient verification”); and U.S. Pat. No. 6,748,687 (“Multi-web business form having moisture proof wristband, identification labels and web joint”).
• With reference now toFIG. 39, shown is asystem3900 in which one or more technologies may be implemented. Apregnant patient3950 who is smoking in a hallway3909 (at her home or at a healthcare facility that is “local” to her, e.g.). Her actions are monitored via anetwork3990 that comprises one or more agents3994 (at aremote call center3995, e.g.) who are authorized to monitor and interact withpatient3950 via one or more devices (smoke detector3958 andintercom3959 respectively as shown, e.g.) in her vicinity.
• With reference now toFIG. 49, shown is a high-level logic flow4900 of an operational process.Intensive operation81 describes obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen (e.g. detection module3741 generating aregimen noncompliance determination2988 or othernegative indication2989 of compliance with a pregnancy regimen2331). This can occur, for example, in a context in whichsystem2900 implementsintercom3959 or resides innetwork3990; in which the “first” device comprises at least one of asmoke detector3958 orcomputer2670 or other data-handlingdevice3705 in the same room with patient3950 (in a hallway3909 orother location204 associated withpatient3950, e.g.); and in which the “indication via the first device” is a result2314 of a cigarettesmoke concentration indication2481 exceeding a corresponding threshold2451 (indicating that someone is smoking in hallway3909, e.g.) or a cigarette smokedetection frequency indication2482 exceeding a corresponding threshold2452 (corresponding to cigarette smoke being detected viasmoke detector3958 one day per week, e.g.). Alternatively or additionally, in some variants, one or more configuration modules3701-3704, detection modules3741-3746, computation modules3771-3774, or authorization modules3791-3794 may reside in asmoke detector3958,intercom3959, kiosk, or otherstationary device3760 as described herein. Alternatively or additionally, pregnancy regimen2331 may include one or more medicinal, dietary, measurement, reporting, or other health-related regimen components with whichpatient3950 or her local caregivers (nurses, e.g.) may or may not comply. In some contexts, for example, such thresholds2451-2453 or other compliance determinants2393 may be defined (via acontrol unit2705 operated by aspecialty service provider2710, e.g.) with reference to one or more other indications2483 (relating to the individual and received via acamera2832 orother sensor2833 residing ininteraction unit2775, e.g.) specific to a particular regimen2331 (as defined by a specialist, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for associating an entity (user or device, e.g.) with another entity as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,023,485 (“Method, system and device for realizing user identity association”); U.S. Pat. No. 7,979,585 (“System and method to associate a private user identity with a public user identity”); U.S. Pat. No. 7,970,660 (“Identifying associations between items and email-address-based user communities”); U.S. Pat. No. 7,941,505 (“System and method for associating a user with a user profile in a computer network environment”); U.S. Pat. No. 7,894,812 (“Automatic over-the-air updating of a preferred roaming list (PRL) in a multi-mode device, based on an account association between the device and a wireless local area network (WLAN) access point”); U.S. Pat. No. 7,743,099 (“Associating multiple visibility profiles with a user of real-time communication system”); U.S. Pat. No. 7,716,378 (“System and method to associate a private user identity with a public user identity”); U.S. Pat. No. 7,703,691 (“Multiple device and/or user association”); U.S. Pat. No. 7,627,577 (“System and method for maintaining an association between a distribution device and a shared end user characteristic”); U.S. Pat. No. 6,473,824 (“Dynamic association of input/output device with application programs”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for generating indications of patient compliance or noncompliance as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,032,399 (“Treatment regimen compliance and efficacy with feedback”); U.S. Pat. No. 7,917,377 (“Patient data mining for automated compliance”); U.S. Pat. No. 7,599,892 (“Method for secure diagnostic screening, servicing, treatment, and compliance monitoring for sleep apnea in truck drivers”); U.S. Pat. No. 7,417,205 (“Medical item thermal treatment systems and method of monitoring medical items for compliance with prescribed requirements”); U.S. Pat. No. 6,926,667 (“Patient compliance monitor”); U.S. Pat. No. 6,790,668 (“Monitoring patient compliance and bioavailability of drugs by deproteinizing body fluids”); U.S. Pat. No. 6,380,858 (“Systems and methods for monitoring patient compliance with medication regimens”); U.S. Pat. No. 6,161,095 (“Treatment regimen compliance and efficacy with feedback”); U.S. Pat. No. 6,124,136 (“Method of monitoring compliance with methadone treatment program”); and U.S. patent application Ser. No. 13/199,053 (“Systematic distillation of status data relating to regimen compliance”).
• Intensive operation94 describes obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication (e.g. interface module3511 receiving anindication2484 via one ormore response units2755,3605 that one or morequalified agents294,3994 are online). This can occur, for example, in a context in which such agents can each press a button2079 (on an office phone, e.g.) at their workstations to generatesuch availability indications2484,2485 when they start or resume working or when they accept a particular work task. In some variants, for example, awork task2441 becomes available to one or morecall center agents294,3994 as an automatic and conditional response to anegative indication2989 of compliance (a current or recent condition2321 signaling a patient's failure to report within a prescribed interval, e.g.) andinterface module3511 assigns the work task2441 (of participating in the electronic intercommunication, e.g.) in response to the first-arriving indication2485 (from whichever of the eligiblecall center agents294,3994 signals availability first, e.g.) by invokingcommunication module3681.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for facilitating the operation of a call center or otherwise initiating communications as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,069,213 (“Method of controlling access to network resources using information in electronic mail messages”); U.S. Pat. No. 7,860,935 (“Conditional communication”); U.S. Pat. No. 7,783,023 (“Systems and methods for providing unified collaboration systems with conditional communication handling”); U.S. Pat. No. 7,484,048 (“Conditional message delivery to holder of locks relating to a distributed locking manager”); U.S. Pat. No. 7,042,338 (“Alerting a care-provider when an elderly or infirm person in distress fails to acknowledge a periodically recurrent interrogative cue”); U.S. Pat. No. 6,307,937 (“Method and apparatus for an adapter card providing conditional access in a communication system”); and U.S. Pat. No. 6,108,709 (“System for sending an e-mail message to a first type of terminal based upon content thereof and selected conditions and selectively forwarding it to a second type of terminal”).
• Extensive operation59 describes signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication (e.g. communication module3681 initiating atelephone call3431,text chat session3432, or otherelectronic intercommunication3441 as a real-time response to hybrid indication2485). This can occur, for example, in a context in which eachsuch indication2485 signifies both the first individual's apparent noncompliance and the second individual's availability to participate, at least; in which one or more of the above-described systems and media (ofFIG. 1-13 or20-38, e.g.) reside innetwork3990; and in which a timely and selective response to various types of device-detectable regimen noncompliance would not otherwise be cost-effective. In some contexts in which an initialnegative indication2989 of compliance comes from avessel2890 containing medication (not having been used on schedule, e.g.), for example,incentive acceptance module2820 may transmit asignal2816 that indicates one ormore incentives2811,2812 with thenegative indication2989 of compliance.Such incentives2811 may include a flat fee or per-minute fee for participating in the electronic intercommunication, for example, which incentives are implemented as another automatic and conditional response to a hybrid indication2485 (generally signifying the first individual's apparent noncompliance and the second individual's availability to participate, e.g.). In some contexts, moreover,invocation module2795 may be configured to coordinateflow4900 automatically (activatingintercom3959 without further input fromcall center3995 or from any user local to patient3950, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing a conditional message as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,932,837 (“Conditional aircraft cabin warning and signalling system for determining the cabin status”); U.S. Pat. No. 7,002,454 (“System and method for warning an operator of a vehicle if the vehicle is operating in a condition that may result in drive belt failure”); U.S. Pat. No. 6,452,487 (“System and method for warning of a tip over condition in a tractor trailer or tanker”); U.S. Pat. No. 6,437,707 (“Detecting a low performance takeoff condition for aircraft for use with ground proximity warning systems”); U.S. Pat. No. 6,373,392 (“Alert device for providing a warning of a baby's condition which may lead to the onset of SIDS”); U.S. Pat. No. 6,310,556 (“Apparatus and method for detecting a low-battery power condition and generating a user perceptible warning”); U.S. Pat. No. 6,310,554 (“Severe weather detection apparatus and method of detecting and warning of severe weather conditions”); and U.S. Pat. No. 6,211,791 (“Warning system for excessive apparent temperature conditions”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing a device-initiated phone call or other audible notification as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,041,017 (“Emergency call service with automatic third party notification and/or bridging”); U.S. Pat. No. 7,650,811 (“Shifting device”); U.S. Pat. No. 7,508,298 (“Automatic crash notification using prerecorded messages”); U.S. Pat. No. 7,493,281 (“Automatic notification of irregular activity”); U.S. Pat. No. 7,469,155 (“Handheld communications device with automatic alert mode selection”); U.S. Pat. No. 7,181,192 (“Handheld portable automatic emergency alert system and method”); U.S. Pat. No. 7,076,235 (“Automatic notification of personal emergency contacts from a wireless communications device”); U.S. Pat. No. 6,442,485 (“Method and apparatus for an automatic vehicle location, collision notification, and synthetic voice”); and U.S. Pat. No. 6,112,074 (“Radio communication system with automatic geographic event notification”).
• With reference now toFIG. 40, shown is another example of asystem4000 in which one or more technologies may be implemented. One or more tracking units4020 (implemented indevice305 or near a healthcare recipient, e.g.) is configured to implement a health-related regimen2331-2339 comprising one or moremedicinal components4011,measurement components4012,omission components4013,exercise components4014, orother regimen components4015,4016. In some variants, such tracking may result in one or moreconditional notifications4071,4072 orperformance metrics4081,4082 being generated (via local event-sequencing logic intracking unit4020 or medical device configuration logic3305 innetwork4090, e.g.) as described below.
• With reference now toFIG. 50, shown is a high-level logic flow5000 of an operational process.Intensive operation86 describes obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual (e.g. interface module3512 receiving via tracking unit4020 a percentage or other quantified indication2343 of how well patient3950 has complied with pregnancy regimen2331). This can occur, for example, in a context in whichpatient3950 is the “first” patient; in whichsmoke detector3958 andinteraction unit3505 are each instances of the “first” device; in which an obstetrician has defined required and suggested parameters for respective components of pregnancy regimen2331; in which one ormore tracking units4020 on or nearpatient3950 are configured (by a programmer orother technician2761, e.g.) to derive such quantified indications2343 (positively or negatively indicative of compliance, e.g.) from sensor data local to patient3950 or fromuser input2473, and in which the pregnancy regimen2331 includes one or more omission components4013 (not smoking, e.g.). In some contexts, for example, quantified indication2343 may include an occurrence count (of detected regimen violations, e.g.), a rate (of calories consumed per day or of intercommunications or other events required by a reporting regimen component, e.g.), or a concentration (of detected metabolites indicative of compliance or noncompliance as measured bysample tester3060, e.g.). In some variants, two or more such quantified indications2343,2344 may respectively reflect the performance by apatient3950 and her provider (caregiver991, e.g.) in regard to their respective regimens2331,2339 or regimen components.
• In light of teachings herein, numerous existing techniques may be applied for applying various provider-specified criteria (relating to counts or dosages or other quantifications provided by a physician or other service provider, e.g.) to device-detectable health-indicative data (for determining success, eligibility, or some other threshold event, e.g.) as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,488,291 (“Methods for detecting and monitoring sleep disordered breathing using an implantable medical device”); U.S. Pat. No. 7,487,774 (“Adaptive patient trigger threshold detection”); U.S. Pat. No. 7,465,551 (“Method of determining cytokine dosage for improving myelosuppressive state”); U.S. Pat. No. 7,366,571 (“Neurostimulator with activation based on changes in body temperature”); U.S. Pat. No. 7,246,619 (“Snore detecting method and apparatus”); U.S. Pat. No. 7,223,246 (“Diagnosis of the presence of cochlear hydrops using observed auditory brainstem responses”); U.S. Pat. No. 7,177,684 (“Activity monitor and six-minute walk test for depression and CHF patients”); U.S. Pat. No. 7,132,238 (“Method of determining a chemotherapeutic regimen based on ERCC1 expression”); U.S. Pat. No. 7,107,095 (“Device for and method of rapid noninvasive measurement of parameters of diastolic function of left ventricle and automated evaluation of the measured profile of left ventricular function at rest and with exercise”); U.S. Pat. No. 7,054,688 (“Heart stimulator with evoked response detector and an arrangement for determining the stimulation threshold”); U.S. Pat. No. 7,047,083 (“Method and apparatus for identifying lead-related conditions using lead impedance measurements”); U.S. Pat. No. 6,988,498 (“Administration of CPAP treatment pressure in presence of apnea”); U.S. Pat. No. 6,978,177 (“Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing”); U.S. Pat. No. 6,671,548 (“Implantable stimulation device and method for discrimination atrial and ventricular arrhythmias”); U.S. Pat. No. 6,336,048 (“Implantable active medical device enslaved to at least one physiological parameter”).
• Intensive operation97 describes obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual (e.g. input module3625 receiving viadevice1242 an event count or other indication2346 quantitatively describing how well patient1292 has complied with a personalized regimen2332 having an exercise component4014). This can occur, for example, in a context in which an accelerometer aboarddevice1242 generates indication2346 as a count of how many steps patient1292 takes each day. Alternatively or additionally, in some contexts, a service provider (a programmer orother technician2761, e.g.) may define required and suggested parameters for respective regimen components of a personalized regimen2332 and configure one or more tracking units4020 (comprisingdevice1242, e.g.) to derive such compliance-related quantified indications2346 (event counts or time intervals or measurements, e.g.). In a context in which regimen2332 includes anomission component4013 relating to alcohol consumption, for example,such tracking units4020 may include a breathalyzer. Alternatively or additionally, regimen2332 may require aregimen component4016 of daily reporting (implemented as aconditional notification4071 or other data upload from aportable tracking unit4020, e.g.).
• Extensive operation49 describes characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual (e.g. computation module3771 generating amedian performance metric4081 across two or more scalar indications2343-2349 of regimen compliance performance by or on behalf ofpatients250,1292,3950 in a given patient category). This can occur, for example, in a context in which the patient category is defined as whichever patients (in aparticular service zone208 or records archive820, e.g.) have been served repeatedly by a particular provider (amaterial provider2781 or care provider2783 or corporate entity, e.g.) during the past year; in which performance metric2461 (quantified indication2343, e.g.) reflects recent behavior of a particular patient3950 (in relation to regimen2331, e.g.); in which performance metric2462 (quantified indication2346, e.g.) reflects recent behavior of patient1292 (in relation to regimen2332, e.g.); in whichperformance metric2463 reflects recent behavior of patient250 (in relation to regimen2332, e.g.); and in whichcomputation module3771 derives performance metric4081 as the median of these performance metrics2461-2463. In some contexts, for example, such component performance metrics2461-2463 express similar respective percentages (negatively indicative of compliance, e.g.). Alternatively or additionally, an alternative performance metric4082 may be derived using one or more othercomponent performance metrics2464 relating toother patients992,1392 or relating toother regimen components4015,4016 or relating to other regimens2333-2338 or components thereof or relating to other periods of time (a week or a month, e.g.); or other modes of mathematical combination (ranking or other common statistical operations, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for calculating and disseminating metrics as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,078,606 (“Rank-based estimate of relevance values”); U.S. Pat. No. 8,069,080 (“Methods for generating healthcare provider quality and cost rating data”); U.S. Pat. No. 8,065,669 (“Apparatus for automatically converting numeric data to a processor efficient format for performing arithmetic operations”); U.S. Pat. No. 8,046,371 (“Scoring local search results based on location prominence”); U.S. Pat. No. 7,949,643 (“Method and apparatus for rating user generated content in search results”); U.S. Pat. No. 7,865,171 (“Method and system for rating notification”); U.S. Pat. No. 7,826,965 (“Systems and methods for determining a relevance rank for a point of interest”); U.S. Pat. No. 7,730,005 (“Issue tracking system using a criteria rating matrix and workflow notification”); U.S. Pat. No. 7,630,913 (“Automated processing of medical data for disability rating determinations”); and U.S. Pat. No. 6,832,245 (“System and method for analyzing communications of user messages to rank users and contacts based on message content”).
• With reference now toFIG. 41, shown is another example of asystem4100 in which one or more technologies may be implemented. A local user4180 and ahandheld device4110 each have a field of view4150 within whichseveral people4141,4142,4143,4144 are visible. Aportion4172 of an image4170 (depictingperson4144, e.g.) shown on atouchscreen4115 of thedevice4110 captures acorresponding portion4152 of the field of view4150 so that, in some contexts, user4180 can designate a patient (person4144, e.g.) selectively (by touchingportion4172, e.g.). In some contexts, such designation can trigger closer tracking (supplemental capture of facial image data or otherbiometric data2540 to facilitate recognition or detection of devices onperson4144, e.g.) or other device-assisted investigation concerning that patient and her medical status, as described below.
• With reference now toFIG. 51, shown is a high-level logic flow5100 of an operational process.Intensive operation82 describes obtaining a field of view within which a specific portion of the field of view includes a view of a first patient (e.g. detection module3744 receiving animage4170 of which a lower-right portion4172 depicts the “first” patient). This can occur, for example, in a context in which the first patient isperson4144; in whichdevice4110 is a handheld device comprising acamera2053 via whichimage4170 was captured; and in whichdetection module3744 is configured to distinguish oneperson4144 from another in (a raw version of) theimage4170. In some variants, for example,detection module3744 may reside withindevice4110 and be configured to highlight image features (with blinking brackets or similar visible markings, e.g.) of one or more individuals visible withinimage4170 thatdetection module3744 identifies (as human faces or figures, e.g.) in an enhanced version of image4170 (visible to user4180, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for locating symbols, faces, or other shapes in field of view as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,295,556 (“Apparatus and method for determining line-of-sight direction in a face image and controlling camera operations therefrom”); U.S. Pat. No. 8,259,169 (“Eye-gaze detecting device and eye-gaze detecting method”); U.S. Pat. No. 8,188,880 (“Methods and devices for augmenting a field of view”); U.S. Pat. No. 8,045,805 (“Method for determining whether a feature of interest or an anomaly is present in an image”); U.S. Pat. No. 7,986,828 (“People detection in video and image data”); U.S. Pat. No. 7,912,288 (“Object detection and recognition system”); U.S. Pat. No. 7,903,880 (“Image processing apparatus and method for detecting a feature point in an image”); U.S. Pat. No. 7,856,142 (“Methods and systems for detecting character content in a digital image”); U.S. Pat. No. 7,787,692 (“Image processing apparatus, image processing method, shape diagnostic apparatus, shape diagnostic method and program”); U.S. Pat. No. 7,715,659 (“Apparatus for and method of feature extraction for image recognition”); U.S. Pat. No. 7,682,025 (“Gaze tracking using multiple images”); U.S. Pat. No. 7,630,544 (“System and method for locating a character set in a digital image”); U.S. Pat. No. 7,590,275 (“Method and system for recognizing a candidate character in a captured image”); U.S. Pat. No. 7,572,008 (“Method and installation for detecting and following an eye and the gaze direction thereof”); U.S. Pat. No. 7,526,123 (“Estimating facial pose from a sparse representation”); U.S. Pat. No. 7,454,067 (“Symbol classification depending on cluster shapes in difference image”); U.S. Pat. No. 7,403,656 (“Method and apparatus for recognition of character string in scene image”); U.S. Pat. No. 6,700,604 (“Image capturing method and apparatus for determining a shape of an object”).
• Intensive operation88 describes obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient (e.g. interface module3516 receiving auditory ortouchscreen input2472 indicatingperson4144 from user4180 after operation82). This can occur, for example, in a context in whichsuch input2472 includes coordinates2381,2382 indicating a position ontouchscreen4115 within aportion4172 ofimage4170 that was touched by user4180; in which user4180 intends or perceives that such input is “selective” insofar that it indicates less than all of the field of view (image4170, e.g.); in which thespecific portion4172 depicts only one patient (person4144, e.g.); and in which other people depicted in image4170 (if there are any) are therefore not “selectively indicated” by such input. In some contexts, for example, ambiguous input (spanning two or more portions ofimage4170 respectively identifying two ormore persons4143,4144 depicted therein, e.g.) may not register (may not triggerinterface module3516 to take any action perceptible to user4180, e.g.) or may causeinterface module3516 to prompt user4180 to specify which person user4180 intends to designate (by asking the user for a menu selection or by zooming in on part of theimage4170 that depicts them to prompt a more precise designation viatouchscreen4115, e.g.). Alternatively or additionally,interface module3516 may be configured to provide (via a speaker ortouchscreen4115 ofdevice4110, e.g.) one or moreunique patient designations2501,2502 (patient names or birthdates or serial numbers retrieved from corresponding institutional records3191-3197, e.g.) by which user4180 may resolve thatperson4144 has been identified correctly (in a variant in whichinterface module3516 uses a voice menu confirmation or other protocol for prompting user4180 for clarification, e.g.). Alternatively or additionally,interface module3516 may be configured to extract such institutional data by a direct detection (via apassive wireless linkage2776 or line of sight, e.g.) of a data-handling device3805 (aninteraction unit2775, e.g.) worn by person4144 (individual2782, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for highlighting detected features in displays or other visual media as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,911,482 (“Method and system for efficient annotation of object trajectories in image sequences”); U.S. Pat. No. 7,853,586 (“Highlighting occurrences of terms in documents or search results”); U.S. Pat. No. 7,639,396 (“Editing of digital images, including (but not limited to) highlighting and shadowing of image areas”); U.S. Pat. No. 7,555,159 (“Image highlight correction using illumination specific HSV color coordinate”); U.S. Pat. No. 7,119,814 (“System and method for annotation on a moving image”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for comparing a face or other informational element with a database of similar items as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,000,528 (“Method and apparatus for authenticating printed documents using multi-level image comparison based on document characteristics”); U.S. Pat. No. 7,949,191 (“Method and system for searching for information on a network in response to an image query sent by a user from a mobile communications device”); U.S. Pat. No. 7,908,518 (“Method, system and computer program product for failure analysis implementing automated comparison of multiple reference models”); U.S. Pat. No. 7,856,137 (“Apparatus and method for verifying image by comparison with template image”); U.S. Pat. No. 7,831,559 (“Concept-based trends and exceptions tracking”); U.S. Pat. No. 7,787,693 (“Text detection on mobile communications devices”); U.S. Pat. No. 7,644,055 (“Rule-based database object matching with comparison certainty”); U.S. Pat. No. 7,443,787 (“Cluster system, cluster member, and failure recovery method and program thereof”); U.S. Pat. No. 6,424,729 (“Optical fingerprint security verification using separate target and reference planes and a uniqueness comparison scheme”); U.S. Pat. No. 6,167,398 (“Information retrieval system and method that generates weighted comparison results to analyze the degree of dissimilarity between a reference corpus and a candidate document”); U.S. Pat. No. 6,134,014 (“Apparatus and method of inspecting phase shift masks using comparison of a mask die image to the mask image database”).
• Extensive operation51 describes signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient (e.g. triggering module3552 automatically causingmedical history data3843 pertaining toperson4144 to be transmitted if and only ifinterface module3516 successfully obtainsinput2472 as described above). This can occur, for example, in a context in which one or more interface modules3511-3516 are operably coupled to triggering modules3551-3556 as described herein; in whichrecord3834 pertains specifically toperson4144; and in which othertabular data3820 from the same source is not accessible to triggeringmodule3552. In some contexts, for example,such input2472 comprises apattern3841 uniquely designatingsuch record3834. Alternatively or additionally, triggeringmodule3552 may trigger an acquisition or retrieval of one or more status indicators3842 (current images2575, measurements, regimens2335,query responses2459, or unfilledmedical orders2511, e.g.) pertaining to person4144 (via a data-handlingdevice3805 worn byperson4144, e.g.). This can occur, for example, in a context in whichdevice4110 resides innetworks2790,3590 and implementsinteraction unit3505; and in which a healthcare provider (user4180, e.g.) could not otherwise manage a crowded environment (numerous patients in a clinic or office or cafeteria, e.g.) effectively. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5100 automatically (without further input from any user local to the first patient, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for extracting an indication that a patient (mammal, e.g.) was treated for a particular condition as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,073,711 (“Method and system for obtaining health-related records and documents using an online location”); U.S. Pat. No. 8,065,347 (“Managing protocol amendments in electronically recorded clinical trials”); U.S. Pat. No. 7,972,274 (“System and method for analyzing a patient status for congestive heart failure for use in automated patient care”); U.S. Pat. No. 7,935,055 (“System and method of measuring disease severity of a patient before, during and after treatment”); U.S. Pat. No. 7,899,764 (“Medical ontologies for machine learning and decision support”); U.S. Pat. No. 7,552,039 (“Method for sample processing and integrated reporting of dog health diagnosis”); U.S. Pat. No. 7,533,353 (“Electronic system for collecting and automatically populating clinical order information in an acute care setting”); and U.S. Pat. No. 7,069,085 (“Method and apparatus to produce, maintain and report information related to patient treatment using medical devices”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for annotating an electronic record as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,941,009 (“Real-time computerized annotation of pictures”); U.S. Pat. No. 7,913,162 (“System and method for collaborative annotation using a digital pen”); U.S. Pat. No. 7,847,970 (“System and method for reception analysis and annotation of prescription data”); U.S. Pat. No. 7,546,524 (“Electronic input device system and method using human-comprehensible content to automatically correlate an annotation of a paper document with a digital version of the document”); U.S. Pat. No. 7,373,342 (“Including annotation data with disparate relational data”); U.S. Pat. No. 7,286,894 (“Hand-held computer device and method for interactive data acquisition analysis annotation and calibration”); U.S. Pat. No. 7,269,787 (“Multi-document context aware annotation system”); U.S. Pat. No. 7,263,493 (“Delivering electronic versions of supporting documents associated with an insurance claim”); U.S. Pat. No. 6,839,403 (“Generation and distribution of annotation overlays of digital X-ray images for security systems”); U.S. Pat. No. 6,721,921 (“Method and system for annotating documents using an independent annotation repository”); U.S. Pat. No. 6,594,519 (“Distributed real time catalog-based annotation and documentation system for cardiology procedures”); U.S. Pat. No. 6,575,901 (“Distributed real time replication-based annotation and documentation system for cardiology procedures”); U.S. Pat. No. 6,397,181 (“Method and apparatus for voice annotation and retrieval of multimedia data”).
• With reference now toFIG. 42, shown is another example of asystem4200 in which one or more technologies may be implemented in one or more devices305 (in a vicinity of patient4250, e.g.) having awireless linkage4294 withnetwork4290. In some variants one or moreregimen noncompliance indications4271,4272 relating to patient4250 trigger conditional orother incentive indications4281,4282 being communicated (via adisplay2426,4226 of avehicle4243 or glasses or otherwearable article4245, e.g.) to patient4250 (via, e.g.). SeeFIG. 52. Alternatively or additionally one or more such devices may comprise one or more elements4232 (in arespective portion2581,4231 of one ormore images2580,4230 each implementing a countdown timer2310, e.g.) to indicate a remaining portion (7 minutes and 54 seconds, e.g.) of one ormore time intervals2543,2544 associated with respective tasks (starting an intercommunication or arriving at a location, e.g.). SeeFIG. 57.
• With reference now toFIG. 52, shown is a high-level logic flow5200 of an operational process.Intensive operation89 describes obtaining an indication whether or not a first individual is compliant with a first health regimen (e.g. input module3624 failing to receive an indication2349 that patient4250 took a medication or measurement within atime interval2545 required by acomponent4015 of his therapeutic regimen2336). This can occur, for example, in a context in which amedicinal component4011 ormeasurement component4012 required that such medication or measurement be administered daily; in which anothercomponent4015 of regimen2336 required that the indication2349 of such administration (from an administration detection module2848 or anadministration detection feature2880 directly or indirectly coupled withinput module3624, e.g.) be received within a prescribed time interval (between 11 am and 1 pm, e.g.) each day; in which the effectiveness of regimen2336 depends heavily upon such timely administration; and in which such indication2349 was not received or was received early or late today. In some contexts, for example, such reporting may be implemented via a wearable device (headset4244, e.g.) or other device associated with patient4250.
• Intensive operation96 describes responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive (e.g. triggering module3551 responding to the absence of the indication2349 by causing awearable article4245 or other device associated with patient4250 to receive anindication2553 of a particular payment inkind2618 orother benefit2620 available to patient4250 or to anotherrecipient2722 in exchange for participating in a one-minute telephone call3431 or similar electronic intercommunication3443). This can occur, for example, in a context in which patient4250 and his care provider2783 are busy people (prone to exhibit imperfect compliance and intermittent followthrough and availability, e.g.); in which triggeringmodule3551 associates patient4250 with one or more wearable articles4245 (headsets4244, e.g.) orhandhelds2074 orvehicles4243 operable for communicating thebenefit2620; and in whichsuch benefit2620 is not large enough to motivate regimen noncompliance but is generally large enough to motivate the patient4250 to participate in such adialog3433. Alternatively or additionally, triggeringmodule3551 may be configured to associate his care provider2783 or anotherrecipient2722 with adelivery unit2725 operable for communicating another incentive2640 (penalty for failing to participate in thedialog3433, e.g.). In some contexts, for example, a wearable article associated with patient4250 (headset4244, e.g.) or a data-handlingdevice3705 associated with anotherrecipient2722 in his household, e.g.) may be configured to announce “please be advised that your home's cable television service will be turned off if [patient X] does not call Dr. Smith's office before 2 pm” (viaspeaker3509, e.g.) or to sound a reward-indicative ringtone (a cash register “ching-ching” sound, e.g.) signaling that answering the call will trigger alottery eligibility2646 or otherpositive incentive2640. This can occur, for example, in a context in which such message recipients have configured such ringtones on their own devices or are otherwise aware of what such ringtones signify; in which such persons have cognitive or other behavioral attributes that make independent timely compliance uncertain; in which adequately ensuring compliance with regimen2336 would otherwise require that patient4250 be hospitalized; and in which a service provider2710 (insurer, e.g.) designs such artificial incentives and timely notifications (comprising regimen2336, e.g.) as a cost-effective alternative to hospitalization.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for motivating or monitoring voluntary participation in information management protocols as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,056,118 (“Systems and methods for universal enhanced log-in, identity document verification, and dedicated survey participation”); U.S. Pat. No. 7,828,554 (“System for delivering an educational program to a remote site and for monitoring participation therein”); U.S. Pat. No. 6,807,532 (“Method of soliciting a user to input survey data at an electronic commerce terminal”); and U.S. patent application Ser. No. 13/066,442 (“Cost-effective resource apportionment technologies suitable for facilitating therapies”).
• Extensive operation53 describes signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual (e.g. authorization module3792 placing anelectronic order2512 as an automatic and conditional response to anindication2487 fromcaregiver1391 that patient4250 did not call her office by 2 pm today, theelectronic order2512 directing that cable television service forhome289 be turned off). This can occur, for example, in a context in which patient4250 lives inhome289; in whichservice provider2710 pays for the cable television service forhome289; in whichcaregiver1391 is the “second” individual (Dr. Smith or her assistant, e.g.); in which triggeringmodule3551 responds to the absence of the indication2349 of compliance by transmitting amessage2290 to caregiver1391 (via an email or other app resident ondevice1342, e.g.) asking whether patient4250 called Dr. Smith's office by 2 pm; and in which Dr. Smith is motivated to receive the call and to respond truthfully and promptly to themessage2290 because she understands regimen2336. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5200 automatically (without further input from any user local to the first individual, e.g.).
• In light of teachings herein, also, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for determining whether someone has accepted a telephone call as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,680,260 (“Detecting a voice mail system answering a call”); U.S. Pat. No. 7,386,101 (“System and method for call answer determination for automated calling systems”); U.S. Pat. No. 7,260,205 (“Call waiting using external notification and presence detection”); U.S. Pat. No. 6,738,613 (“Telephone set having automatic incoming-call acknowledgement detection”); U.S. Pat. No. 6,697,456 (“Speech analysis based answer detection for IP based telephones”); U.S. Pat. No. 6,650,751 (“Answer detection for IP based telephones using passive detection”); and U.S. Pat. No. 6,111,946 (“Method and system for providing answer supervision in a switched telephone network”).
• With reference now toFIG. 43, shown is another example of asystem4300 in which one or more technologies may be implemented. A noncompliance response sequencing unit4310 (implemented incontrol unit2705, e.g.) comprises tabular data4320 (configured byservice provider2710 ortechnician2761, e.g.). Two or moreevent detection modules4331,4332,4333,4334,4335 (implemented in one ormore tracking units4020 local to one or more patients, e.g.) each respectively correspond to a device-detectable noncompliance event4311,4312,4313,4314,4315 relating to one or more regimens2331-2339 prescribed for said patient(s).Tabular data4320 associates two or more of thesenoncompliance events4311,4313,4315 each with arespective response4301,4302,4303 that can be implemented by a respectiveresponse implementation module4341,4342,4343 (local to one or more patients or providers, e.g.). SeeFIG. 53.Response implementation module4341 will be triggered in response to anoncompliance event4311 being detected (irrespective of other events4313-4315 being detected or not, e.g.), for example, whereasresponse implementation module4343 will be triggered only ifseveral noncompliance events4311,4313,4315 are detected.
• With reference now toFIG. 53, shown is a high-level logic flow5300 of an operational process.Intensive operation85 describes obtaining a first indication whether or not a first patient has violated a first health regimen (e.g. input module3626 receiving anindication2555 that the “first” patient has failed to complete aparticular task2442 required by regimen2337 within an allowable time period). This can occur, for example, in a context in which regimen2337 is designed to address a serious eating disorder (anorexia nervosa, e.g.) for which thefirst patient250 has been admitted (byhospital202, e.g.); in which the failure to completetask2442 has been recognized (as noncompliance-indicative event4311, e.g.) by anevent detection module4331 that transmits the “first”indication2555; and in whichsystem4300 resides innetwork290. In some contexts, for example,task2442 may include the first patient ordering breakfast every morning by 10 am. Alternatively or additionally, triggeringmodule3556 may be configured to generate an order2513 (requesting that the first patient be weighed every day, e.g.) as an automatic and conditional response to one or more such noncompliance-indicative events4311,4312 being signaled toinput module3626.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for selecting and applying thresholds or other criteria as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,069,236 (“Flow control of events based on threshold, grace period, and event signature”); U.S. Pat. No. 8,061,592 (“Overdraft threshold analysis and decisioning”); U.S. Pat. No. 8,005,685 (“Ranking air travel search results based upon user criteria”); U.S. Pat. No. 7,976,171 (“Projector cooling system with time dependent temperature threshold”); U.S. Pat. No. 7,898,995 (“Dynamic adjustment of inactivity timer threshold for call control transactions”); U.S. Pat. No. 7,894,448 (“Proving that a user profile satisfies selection criteria for targeted data delivery”); U.S. Pat. No. 7,849,398 (“Decision criteria for automated form population”); U.S. Pat. No. 7,742,193 (“Method for inspecting prints identifying differences exceeding a threshold”); U.S. Pat. No. 7,624,447 (“Using threshold lists for worm detection”); U.S. Pat. No. 7,592,859 (“Apparatus to compare an input voltage with a threshold voltage”); and U.S. Pat. No. 7,536,301 (“System and method for implementing real-time adaptive threshold triggering in acoustic detection systems”).
• Intensive operation90 describes obtaining a second indication whether or not the first patient has violated the first health regimen (e.g. input module3627 receiving anindication2556 that the first patient has not complied with anomission component4013 of regimen2337). This can occur, for example, in a context in which regimen2337 prohibits certain behaviors comprising at least one noncompliance-indicative event4315 reported to have occurred via an event detection module4335 (implemented in a questionnaire app completed by one or more care providers2783, e.g.) that transmitsindication2556. In some contexts, for example, such behaviors may include inducing vomiting or failing to maintain a body weight above a particular threshold2456 (5% below a weight ofpatient250 measured upon admission tohospital202, e.g.).
• Extensive operation52 describes signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen (e.g. triggering module3553 transmitting anorder2514 toagent294 as anautomatic response4301 to one or more noncompliance-indicative events4311 received from event detection module4331). This can occur, for example, in a context in which awork order2514 calls foragent294 to send a therapeutic message2290 (advice or encouragement in a periodic email or text message topatient250, e.g.) or to conduct telephonic counseling withpatient250; in which triggeringmodule3553 initiates such therapeutic responses as a direct response to anindication2555 of minor noncompliance received viainput module3626 and without regard to any other noncompliance indications2556 (or lack thereof) received viainput module3627. (It should be noted that, for semantic reasons relating to antecedent basis,flow5300 is not presented in a most likely sequence of occurrence: more typicallyoperation52 will precede or overlapoperation90.)
• Extensive operation56 describes signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen (e.g. authorization module3791 implementing arecommended response4303 of placing anorder2515 or request thatcaregiver1391visit patient250 every other day if two particular conditions2326,2327 are present and otherwise not transmitting any such order or request). This can occur, for example, in a context in which regimen2337 includessuch response4303 as a conditional response to such conditions; in which “the provider” is a corporation that employsagent294 andcaregiver1391; in which condition2327 (manifested as a voltage level of a particularelectrical node3487, e.g.) comprises a particular indication2555 (of a “minor” noncompliance-indicative event4311, e.g.) received viainput module3626; in which condition2326 (manifested as a voltage level of one or more otherelectrical nodes3488, e.g.) comprises another particular indication2556 (of a “major” noncompliance-indicative event4315, e.g.) received viainput module3627; and in which a measured response to minor or moderate instances of regimen noncompliance would not otherwise occur. In some contexts, for example, regimen2337 may include an intermediateprogrammatic response4302 of an extra telephonic or in-person visit scheduled (as another instance ofoperation52 or56, e.g.) in response to anindication2554 of an intermediate noncompliance-indicative event4313 (a physician's notation or utterance recognized byevent detection module4333 ofpatient250 exercising to excess or consuming over-the-counter laxatives, e.g.). In some contexts “the provider” may comprise a single individual (caregiver1391, e.g.) who can participate in the electronic communication and also be routed to patient250 (athome289 or a room inhospital202, e.g.) respectively pursuant tooperations52 and56. In some variants, moreover,authorization module3791 may be configured to “route the provider to the first patient” by generating atask list2445 or map2423 (from whichcaregiver1391 may conduct her work, e.g.) that designates a location of ahome289 or hospital room (including a residential address or room number, e.g.) at whichpatient250 is residing. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5300 automatically (without further input from any user vianetwork4390, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for routing an entity as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,290,701 (“Vehicle route selection based on energy usage”); U.S. Pat. No. 8,255,147 (“Air traffic control”); U.S. Pat. No. 8,155,811 (“System and method for optimizing a path for a marine vessel through a waterway”); U.S. Pat. No. 8,140,592 (“Delivery operations information system with route adjustment feature and methods of use”); U.S. Pat. No. 8,027,784 (“Personal GPS navigation device”); U.S. Pat. No. 8,005,488 (“Automatic service vehicle hailing and dispatch system and method”); U.S. Pat. No. 8,000,892 (“Pedestrian mapping system”); U.S. Pat. No. 7,693,653 (“Vehicle routing and path planning”); U.S. Pat. No. 7,653,457 (“Method and system for efficient package delivery and storage”); U.S. Pat. No. 7,587,369 (“Trusted and secure techniques, systems and methods for item delivery and execution”); and U.S. Pat. No. 7,487,114 (“System and method for associating aerial images, map features, and information”).
• With reference now toFIG. 44, shown is another example of asystem4400 in which one or more technologies may be implemented. A data-handling unit4430 interacts with an automated teller machine (ATM)4410 via one ormore linkages4494 andnetwork4490. Data-handling unit4430 (residing incontrol unit2705, e.g.) may handle one ormore admission indications4421,4422 (relating to a hospital or other institution having admitted a patient or not, e.g.);readmission indications4431,4432 (relating to the patient having been readmitted or not, e.g.); or transfer authorizations4435 (relating to an item or other incentive that may be dispensed to the patient or not, e.g.). In some contexts,ATM4410 may interact with apatient4450 who is in a field of view of acamera4442 and is operating apassenger vehicle4443, as described below.
• With reference now toFIG. 54, shown is a high-level logic flow5400 of an operational process.Intensive operation84 describes assigning a component of an artificial incentive to a first patient partly based on an indication that the first patient has been admitted to a first institution in relation to a particular condition and partly based on an indication that the first patient has not undergone an institutional readmission (e.g. selection module3533 assigning a daily cash allowance or similartangible benefit2620 to patient4450 only if both conditions are met). This can occur, for example, in a context in which the “first” institution is a psychiatric hospital; in which the particular condition comprises a pathology (clinical depression, e.g.); in whichdata distillation module3422 generates one ormore admission indications4421,4422 (from a searchresult comprising record3191, e.g.) thatpatient4450 has been admitted to the psychiatric hospital in relation to the particular condition; in whichdata distillation module3422 likewise generates a readmission indication4431 (from a searchresult comprising record3192, e.g.) thatpatient4450 has not since been admitted to any known hospital or a readmission indication4432 (from a searchresult comprising record3193, e.g.) thatpatient4450 has not since been admitted to any participating regional hospital for any “avoidable” medical treatment related to the particular condition (a drug overdose or wound apparently inflicted by thepatient4450, e.g.); and in whichsearch bot3421 refreshes such records regularly (hourly or daily, e.g.) by searching all records of a network of regional hospitals near ATM4410 (using one or more identifiers ofpatient4450, e.g.). In some contexts, for example,selection module3533 may performoperation84 by designating a $20 cash credit (in lieu of aservice2648 or otheravailable incentive2640, e.g.) forpatient4450 whenever both conditions are met. Alternatively or additionally,selection module3533 may be configurable (by a caregiver or patient4450 having access tointeraction unit3505, e.g.) so that such conditions will result in a designation of an alternative incentive component (a payment inkind2618, e.g.). In some variants, moreover, such assignment may be contingent upon a patient's location (visiting an ATM orcaregiver991, e.g.) or upon one or more other determinants2393 (fulfillment of one or moremedicinal components4011,measurement components4012, orother regimen components4016 described herein, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for establishing which patients have been admitted and treated for a particular condition as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,996,074 (“System and method for providing closely-followed cardiac therapy management through automated patient care”); U.S. Pat. No. 7,991,485 (“System and method for obtaining, processing and evaluating patient information for diagnosing disease and selecting treatment”); U.S. Pat. No. 7,942,817 (“Patient monitoring and treatment medical signal interface system”); U.S. Pat. No. 7,827,043 (“Method using a global server for providing patient medical histories to assist in the delivery of emergency medical services”); U.S. Pat. No. 7,698,154 (“Patient-controlled automated medical record, diagnosis, and treatment system and method”); U.S. Pat. No. 7,395,216 (“Using predictive models to continuously update a treatment plan for a patient in a health care location”); U.S. Pat. No. 7,395,214 (“Apparatus, device and method for prescribing, administering and monitoring a treatment regimen for a patient”); U.S. Pat. No. 7,204,805 (“Patient conditional diagnosis, assessment and symptom tracking system”); U.S. Pat. No. 7,069,085 (“Method and apparatus to produce, maintain and report information related to patient treatment using medical devices”); U.S. Pat. No. 6,726,634 (“System and method for determining a condition of a patient”); U.S. Pat. No. 6,405,165 (“Medical workstation for treating a patient with a voice recording arrangement for preparing a physician's report during treatment”); and U.S. Pat. No. 6,338,039 (“Method for automated collection of psychotherapy patient information and generating reports and treatment plans”).
• Extensive operation57 describes transmitting to the first patient a result of assigning the component of the artificial incentive to the first patient partly based on the indication that the first patient has been admitted to the first institution in relation to the particular condition and partly based on the indication that the first patient has not undergone the institutional readmission (e.g. authorization module3793 transmitting atransfer authorization4435 toATM4410 so that any of the above-referenced $20 cash credits assigned byselection module3533 will automatically be dispensed whenever patient4450 transacts business at aqualifying ATM4410 until and unlesspatient4450 undergoes an institutional readmission deemed “avoidable” by service provider2710). This can occur, for example, in a contextprimary unit3405 andinteraction unit3505 are operably coupled to acomputer2670 or other data-handling device3705 (implemented innetwork4490, e.g.); in which the result2311 of the assignment includes a dispensation trigger2304 being transmitted to ATM4410 (implementing thetransfer authorization4435 as an immediate cash dispensation, e.g.); in whichservice provider2710 is an auditor (having authority to implement a clawback or other payment reduction under applicable state laws or Medicare regulations or policies internal to an accountable care organization, e.g.) oragent2762 thereof; and in which any institutional readmissions being thus categorized as “avoidable” would otherwise be much more costly for a provider (of health insurance or care, e.g.) to address. Alternatively or additionally, one or more other transfer authorizations4435 (authorizing a transfer ofpoints2616,credits2617, payments inkind2618, orother resources2619, e.g.) may affect event-sequencing structures (innetwork4490, e.g.) to implement other benefits2620 (for one ormore readmission indications4431,4432 being negatively indicative of readmission, e.g.). This can occur, for example, in a context in whichsuch benefits2620 are asufficient incentive2640 for qualifying patients4450 (released from ahospital202 and at risk for a much-more-costly hospital readmission, e.g.) generally to maintain a physician-specified home care or other therapeutic or monitoring regimen2333 well enough to avoid such readmission but in which such benefits are not so large as to cause physician bribes or similar overt corruption to become common. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5400 automatically (without further input from any user local to patient4450, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for causing a vending machine actuation or other item delivery as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,068,933 (“Products and processes for vending a plurality of products via defined groups”); U.S. Pat. No. 8,041,454 (“Automated business system and method of vending and returning a consumer product”); U.S. Pat. No. 8,002,144 (“Drive system for a vending machine dispensing assembly”); U.S. Pat. No. 7,844,363 (“Vending machine apparatus to dispense herbal medications and prescription medicines”); U.S. Pat. No. 7,783,379 (“Automated vending of products containing controlled substances”); U.S. Pat. No. 7,753,091 (“Device and method for controlling the filling of a cup by a vending machine”); U.S. Pat. No. 7,536,360 (“Electronic purchase of goods over a communications network including physical delivery while securing private and personal information of the purchasing party”); U.S. Pat. No. 7,272,571 (“Method and apparatus for effective distribution and delivery of goods ordered on the World-Wide-Web”); U.S. Pat. No. 6,799,165 (“Apparatus and methods for inventory, sale, and delivery of digitally transferable goods”); and U.S. Pat. No. 6,536,189 (“Computerized, monitored, temperature affected, delivery system for perishable goods”).
• With reference now toFIG. 45, shown is another example of asystem4500 in which one or more technologies may be implemented. A wearable orhandheld device4575 borne by or associated withpatient4550 is configured to observe or be observed by a portable device4540 borne by or associated with ahealthcare provider4560. Portable device4540 may include one or more (instances of) therapeutic modules4541 (aninhaler3692 ortransfusion bag3693, e.g.); medical data acquisition modules4542 (sample extraction or measurement or imaging or other diagnosticmedical equipment2080, e.g.); or other sensors2833 (configured to detect whether portable device4540 is in the same room with or otherwise within aparticular vicinity4585 ofpatient4550, e.g.). In some embodiments, one or more primary functions of portable device4540 will remain disabled (by a failsafe orother disablement feature3365 thereof, e.g.) until anorder4538 associates patient4550 with portable device4540 and until portable device4540 is in thevicinity4585 ofpatient4550. Alternatively or additionally, one or both devices may be operably coupled (via awireless linkage2776, e.g.) with one ormore networks2790,4590 described herein.
• With reference now toFIG. 55, shown is a high-level logic flow5500 of an operational process.Intensive operation87 describes obtaining an indication that an order associates a first patient with a medical device (e.g. input module3628 being operated by acaregiver991 to upload anorder4538 allocating a portable device4540 or othermedical equipment2080 or material to be used for or by patient4550 to the one ormore networks2790,4590). This can occur, for example, in a context in which the medical device is associated with a therapeutic component ormeasurement component4012 of a particular regimen2338; in whichresponse unit3605 resides insystem941 ornetwork4590; and in whichcaregiver991 generates theorder4538 by prescribing regimen2338 topatient4550. In some contexts, for example, the portable device4540 may comprise asyringe3691 or otherdisposable item3695. Alternatively or additionally, the portable device4540 may comprise adrug dispenser3270 configured (as atherapeutic module4541, e.g.) to facilitate amedicinal component4011 of regimen2338. In some contexts, moreover,input module3628 may transmit an affirmative decision2508 (tonetwork4090, e.g.) to associate the particular medical device with patient4550 after transmitting an automated prompt2379 (like “Please press or say ‘1’ to confirm that X should be used to perform Y upon patient Z” expressed viaspeaker2057, e.g.) tocaregiver991 and as a direct and conditional response to receiving an affirmative reply (“1,” e.g.).
• Intensive operation92 describes obtaining an indication that the medical device is in a vicinity of the first patient (e.g. one ormore sensors3506,4543 generating anindication2488 that portable device4540 is within avicinity4585 of patient4550). This can occur, for example, in a context in which anotherportable device4575 is carried or worn bypatient4550; in which portable device4540 approaches patient4550 or in whichpatient4550 approaches portable device4540; in which such approach or proximity is detected by the one ormore sensors3506,4543 (optically or by radio frequency or other short range communication between devices, e.g.); and in which a de facto vicinity4585 (ofpatient4550, e.g.) is established by an effective range of the one ormore sensors3506,4543 of one portable device detecting the other portable device. Alternatively or additionally, the medical device may include an authorization module3794 (including aspeech recognition module3427 or otherwise capable of recognizingbiometric data2540 ofpatient4550, e.g.) configured to generate theindication2488 of proximity between the medical device and patient4550 conditionally (as a selective response to recognizing an utterance or otheraudible pattern2532 detected at portable device4540, e.g.) in sensor data received (viacamera3707 ormicrophone3708, e.g.) from anearby patient4550.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for determining by wireless communication which devices are in a region as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,064,884 (“System and method for provisioning a wireless device to only be able to access network services within a specific location”); U.S. Pat. No. 8,010,126 (“Surveying wireless device users by location”); U.S. Pat. No. 7,983,677 (“Location-based wireless messaging for wireless devices”); U.S. Pat. No. 7,979,086 (“Virtual visitor location register for a wireless local area network”); U.S. Pat. No. 7,809,378 (“Location visit detail services for wireless devices”); U.S. Pat. No. 7,548,158 (“First responder wireless emergency alerting with automatic callback and location triggering”); U.S. Pat. No. 7,539,500 (“Using cell phones and wireless cellular systems with location capability for toll paying and collection”); U.S. Pat. No. 7,385,516 (“Location visit confirmation services for wireless devices”); U.S. Pat. No. 7,068,992 (“System and method of polling wireless devices having a substantially fixed and/or predesignated geographic location”); and U.S. Pat. No. 6,957,076 (“Location specific reminders for wireless mobiles”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for computing a difference between locations as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,044,798 (“Passive microwave speed and intrusion detection system”); U.S. Pat. No. 8,026,850 (“Apparatus and method for computing location of a moving beacon using time difference of arrival and multi-frequencies”); U.S. Pat. No. 7,962,283 (“Deviation-correction system for positioning of moving objects and motion tracking method thereof”); U.S. Pat. No. 7,778,792 (“Systems and methods for location, motion, and contact detection and tracking in a networked audiovisual device”); U.S. Pat. No. 7,775,329 (“Method and detection system for monitoring the speed of an elevator car”); U.S. Pat. No. 7,671,795 (“Wireless communications device with global positioning based on received motion data and method for use therewith”); U.S. Pat. No. 7,647,049 (“Detection of high velocity movement in a telecommunication system”); U.S. Pat. No. 7,460,052 (“Multiple frequency through-the-wall motion detection and ranging using a difference-based estimation technique”); U.S. Pat. No. 7,242,462 (“Speed detection methods and devices”); U.S. Pat. No. 6,985,206 (“Baseball pitch speed measurement and strike zone detection devices”); U.S. Pat. No. 6,400,304 (“Integrated GPS radar speed detection system”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for determining whether a device is in a location or region as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,019,168 (“Motion detecting device and search region variable-shaped motion detector”); U.S. Pat. No. 8,000,723 (“System of utilizing cell information to locate a wireless device”); U.S. Pat. No. 7,986,237 (“Location management method using RFID series”); U.S. Pat. No. 7,932,830 (“Method of assigning and deducing the location of articles detected by multiple RFID antennae”); U.S. Pat. No. 7,605,688 (“Vehicle location determination system using an RFID system”); U.S. Pat. No. 7,573,369 (“System and method for interrogating and locating a transponder relative to a zone-of-interest”); U.S. Pat. No. 7,525,425 (“System and method for defining an event based on relationship between an object location and a user-defined zone”); U.S. Pat. No. 7,046,162 (“Method and apparatus to locate a device in a dwelling or other enclosed space”); and U.S. Pat. No. 6,205,326 (“Method for determining when a communication unit is located within a preferred zone”).
• Extensive operation58 describes enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient (e.g. configuration module3704 transmitting a trigger2302 to the medical device in response to either apositive indication2488 or anaffirmative decision2508, whichever is received later). This can occur, for example, in a context in which the medical device is a portable device4540 that include an electromechanical disablement feature3365 (avalve3361 orlatch3362, e.g.) that prevents one or more therapeutic modules4541 (asyringe3691 orinhaler3692 orbag3693, e.g.) ordata acquisition modules4542 thereof from functioning (administering adrug141 or diagnostic protocol, e.g.) until portable device4540 receives trigger2302 (a wirelessdevice enablement signal2562, e.g.); and in whichconfiguration module3704 includes an “AND” gate configured to transmit the trigger2302 and to receive theindication2488 anddecision2508 upon which it is based. Some variants ofconfiguration module3704 may respond to one or more other Boolean values also in some variants, such as in a configuration in which one or more additional determinants2394,2395 as described above are also configured as “AND” gate inputs. Alternatively or additionally, in some implementations, one or more inputs ofconfiguration module3704 may be latched independently (configured to remain “set” once activated, for example, so that trigger2302 might be transmitted even ifindication2488 anddecision2508 are manifested as positive signals that do not overlap in time, e.g.). In some contexts, moreover,invocation module2795 may be configured to coordinateflow5500 automatically (without further input from any user local to the medical device, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing an equipment failsafe as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,083,406 (“Diagnostic Delivery Service”); U.S. Pat. No. 8,070,739 (“Liquid drug transfer devices for failsafe correct snap fitting onto medicinal vials”); U.S. Pat. No. 8,068,917 (“Fail-safe programming for implantable medical device”); U.S. Pat. No. 7,752,058 (“Portable terminal and health management method and system using portable terminal”); U.S. Pat. No. 7,696,751 (“Method and apparatus for ferrous object and/or magnetic field detection for MRI safety”); U.S. Pat. No. 7,438,072 (“Portable field anesthesia machine and control therefore”); U.S. Pat. No. 7,087,036 (“Fail safe system for operating medical fluid valves”); U.S. Pat. No. 7,034,934 (“Anti-carcinogenic lights and lighting”); U.S. Pat. No. 6,768,420 (“Vehicle compartment occupancy detection system”); and U.S. Pat. No. 6,366,809 (“Defibrillator battery with memory and status indication gauge”).
• With reference now toFIG. 46, shown is another example of asystem4600 in which one or more technologies may be implemented. A wall-mountedintercom3959 orother kiosk4630 configured to facilitate patient intake (at ahospital4602 or clinic, e.g.) may interactvarious patients3950,4250 orcaregivers4691. In some variants,kiosk4630 may include one ormore dispensers4633 configured to dispense a wearable article (asticker4634, wristband, facemask, or othersuch article2910, e.g.) customized with patient data (in a magnetic strip or ink-printedsurface2427 thereof, e.g.) as described below.Kiosk4630 may likewise include one or more inputs (a camera4631 orbutton2079 ormicrophone3508, e.g.) and one or more other outputs (adisplay4626 configured to provide video or other visual prompts recognizable by adeaf caregiver4691, e.g.) to facilitate usage with a monolingual or other user who requires a particular protocol for effective intercommunication. Aspeaker3509 may be provided, for example, to facilitate auditory intercommunications (with a Spanish-speakingagent4691 or an English-speakingagent4692 at aremote call center4695, e.g.) vianetwork4690. Alternatively or additionally, kiosk4360 may be adapted to display one or more countdown timers2310 each relating to a task of apparent urgency (a remaining portion of a two-minute time interval associated with emergency personnel arriving atkiosk4630 or alonger interval2544 associated with maintenance personnel arriving atkiosk4630, e.g.) made evident by kiosk input data. SeeFIGS. 56-57.
• With reference now toFIG. 56, shown is a high-level logic flow5600 of an operational process.Intensive operation83 describes causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual (e.g. response module3664 causing one or more audio or video prompts2376,2377 to be played to a patient or to his caregiver via akiosk4630 in a hospital4602). This can occur, for example, in a context in which medium2305 andresponse unit3605 implement a telephonic or other voice menu system (resident inkiosk4630 or innetwork4690, e.g.); in which the “first” data component is a spoken term2351 (“a dose,” e.g.) detected bymicrophone3508; in which a speech recognition module3427 (along a signal path betweenmicrophone3508 andselection module3531 and operably coupled thereto, e.g.) recognizes the spoken term (as being on an English or Spanish word list associated with one ormore call centers295,4695 withinnetwork4690, e.g.); in which network290overlaps network4690; and in whichselection module3531 indicates at least one resource (call center4695, e.g.) in response tospeech recognition module3427 providing anindication2489 that the spoken term seems to be in English. In some contexts, for example, each such resource selection may manifest a decision to present one or more corresponding playable prompts2376,2377 (like “Press or say ‘two’ for English,” e.g.) to the first individual (via aspeaker3509 ofkiosk4630 or of a handheld2841 orother user interface2840, e.g.). Alternatively or additionally,speech recognition module3427 may be configured to detect local physicians' names, symptom descriptors, or other probative terms2352,2353 (particular to a local medical practice or other specific context, e.g.) based upon whichselection module3531 can select a suitable prompt2378. In some variants, moreover,selection module3531 may also select such prompts in response to one or more other determinants2391,2392 (whether the first individual's voice manifests distress or whether an English-speakingagent4692 is apparently online, e.g.)
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for querying a user and recognizing a reply as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,041,570 (“Dialogue management using scripts”); U.S. Pat. No. 8,015,006 (“Systems and methods for processing natural language speech utterances with context-specific domain agents”); U.S. Pat. No. 8,005,263 (“Hand sign recognition using label assignment”); U.S. Pat. No. 7,996,519 (“Detecting content and user response to content”); U.S. Pat. No. 7,983,611 (“Mobile device that presents interactive media and processes user response”); U.S. Pat. No. 7,912,201 (“Directory assistance dialog with configuration switches to switch from automated speech recognition to operator-assisted dialog”); U.S. Pat. No. 7,778,816 (“Method and system for applying input mode bias”); U.S. Pat. No. 7,415,414 (“Systems and methods for determining and using interaction models”); U.S. Pat. No. 7,346,555 (“Method and apparatus for client-in-charge business transaction processing”); U.S. Pat. No. 7,313,515 (“Systems and methods for detecting entailment and contradiction”).
• In light of teachings herein, numerous existing techniques may also be applied for configuring special-purpose circuitry or other structures effective for recognizing voiced and other auditory signals as described herein, or an absence thereof, without undue experimentation. See, e.g., U.S. Pat. No. 8,036,735 (“System for evaluating performance of an implantable medical device”); U.S. Pat. No. 8,014,562 (“Signal processing of audio and video data, including deriving identifying information”); U.S. Pat. No. 8,005,672 (“Circuit arrangement and method for detecting and improving a speech component in an audio signal”); U.S. Pat. No. 7,957,966 (“Apparatus, method, and program for sound quality correction based on identification of a speech signal and a music signal from an input audio signal”); U.S. Pat. No. 7,899,677 (“Adapting masking thresholds for encoding a low frequency transient signal in audio data”); U.S. Pat. No. 7,856,289 (“Method and apparatus for conserving power consumed by a vending machine utilizing audio signal detection”); U.S. Pat. No. 7,809,559 (“Method and apparatus for removing from an audio signal periodic noise pulses representable as signals combined by convolution”); U.S. Pat. No. 7,580,832 (“Apparatus and method for robust classification of audio signals, and method for establishing and operating an audio-signal database, as well as computer program”); U.S. Pat. No. 7,557,728 (“Using audio to detect changes to the performance of an application”).
• Intensive operation95 describes receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual (e.g. detection module3743 receiving and recognizing an utterance of “two” from patient4250 after the prompt2377 of “Press or say ‘two’ for English”). This can occur, for example, in a context in which (an instance of) acomputer2670 or other data-handling device3705 (implemented innetwork4490, e.g.) includesinteraction unit3505 and in whichdetection module3743 is configured to recognize a limited set of possible responses (keyed-in or spoken digits, e.g.). Alternatively or additionally,detection module3743 may be configured to recognize othermedical intake data3507 as the “second” data component (vital signs, patient orcaregiver responses2458 to diagnostic questions, audio or video clips of patient4250,images2577, or other diagnostic or authorization data from or about the first individual, e.g.) via other modes of input (akeyboard846 or camera4631 or similar sensors of a data-handlingdevice3705, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for conducting a structured dialogue with a patient or caregiver as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,065,250 (“Methods and apparatus for predictive analysis”); U.S. Pat. No. 8,024,179 (“System and method for improving interaction with a user through a dynamically alterable spoken dialog system”); U.S. Pat. No. 7,610,556 (“Dialog manager for interactive dialog with computer user”); U.S. Pat. No. 7,539,656 (“System and method for providing an intelligent multi-step dialog with a user”); U.S. Pat. No. 7,461,000 (“System and methods for conducting an interactive dialog via a speech-based user interface”); and U.S. Pat. No. 7,114,954 (“Interaction education system for teaching patient care”).
• Extensive operation54 describes causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual (e.g. configuration module3702 causing awearable sticker4634 orwrist band1223 at the “first” care facility to includeintake data3507 from or about patient4250). This can occur, for example, in a context in which the first care facility is anambulance1295 or nursing home orhospital4602; in which the first individual is acaregiver4691 or patient4250; in which theconfiguration module3702 transmits a trigger2301 that includes at least the “second” data component; and in which such effective patient intake could not otherwise be automated. In some variants, for example, an on-site machine (dispenser4633, e.g.) may encode such information in or on the wearable article (in a barcode or magnetic stripe, e.g.) in response to such a trigger. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5600 automatically (without further input from any user local tohospital4602, e.g.).
• With reference now toFIG. 47, shown is another example of asystem4700 in which one or more technologies may be implemented. A stationary orother countdown timer4740 is mounted on a wall in a vicinity (hospital room4704, e.g.) of one ormore patients4750. As shown, for example,countdown timer4740 is configured so that a counterclockwise-moving element (relative to an interior ofroom4704, e.g.) has aposition4747 that manifests a remaining time interval2541 (about 22 minutes, e.g.). In various implementations,countdown timer4740 is controlled by one or more modules (of aninteraction unit3505 resident innetwork4790, e.g.) having access to one ormore protocol definitions4771,4772,4773 each comprising one ormore records4761,4762,4763 having one or more task definition components4781 (specifying what needs doing, e.g.) mapped to one or more corresponding timing components4782 (specifying when it is to be done, e.g.). In a context in which atask definition component4781 comprises responding to an activation of a call control4730 in some device-detectable manner, for example, atiming component4782 may specify a standard time interval (thirty minutes, e.g.) within which it is expected that at least one corresponding task (authorized personnel resetting a call switch withinroom4704 or activating an intercom inroom4704, e.g.) will be complete.
• With reference now toFIG. 57, shown is a high-level logic flow5700 of an operational process.Intensive operation91 describes identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval (e.g. interface module3514 receiving anorder2516 or other manifestation of adecision2509 about acaregiver991 having prescribed one or more regimens2338,2339 including one ormore timing components4782 for the treatment of patient4750). This can occur, for example, in a context in whichcaregiver991 enters theorder2516 directly viasystem941; in which regimen2338 is defined to include at least one task2443 (amedicinal component4011 manifested in one ormore records4761,4762, e.g.) having atask definition component4781 and atiming component4782; in whichprotocol definition4771 calls for either acaregiver1391 to administer an injection of a first steroid or dose (as atask definition4781 ofrecord4761, e.g.) or for patient4750 to ingest a second steroid or dose (as atask definition4781 ofrecord4762, e.g.); and in which the corresponding time interval ends at 1 pm. This can occur, for example, either in a context in which the nominal time of administration is 1 pm (as a strictformal designation2501 of the time interval ending, e.g.) or in which records4761-4763 allow for a one hour margin (in which the nominal time of administration is at noon as aninformal designation2502, e.g.). Alternatively or additionally, some or all such records4761-4763 may be derived from aninput module3623 configured for optical character recognition upon a scan of a hard copy877 (entered viascanner878, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for determining and recording whether scheduled events are happening within a given interval of time as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,369,476 (“Device for reading from or writing to optical recording media having a control unit for a data slicer”); U.S. Pat. No. 7,335,106 (“Closed-loop system for displaying promotional events and granting awards for electronic video games”); U.S. Pat. No. 7,330,101 (“Prescription compliance device and method of using device”); U.S. Pat. No. 7,293,645 (“Method for monitoring hand hygiene compliance”); U.S. Pat. No. 7,287,031 (“Computer system and method for increasing patients compliance to medical care instructions”); U.S. Pat. No. 7,271,728 (“Method for assessing improvement in hand hygiene practices”); U.S. Pat. No. 7,170,823 (“Medical dispenser, a blister card for use in the dispenser and a method of dispensing medical doses”); U.S. Pat. No. 6,973,371 (“Unit dose compliance monitoring and reporting device and system”); U.S. Pat. No. 6,882,278 (“Apparatus and methods for monitoring compliance with recommended hand-washing practices”); U.S. Pat. No. 6,655,583 (“Medical billing method and system”); U.S. Pat. No. 6,514,200 (“Patient compliance monitor”); U.S. Pat. No. 6,375,038 (“Dispenser having timing means, multisensory output and means of tracking usage number”); U.S. Pat. No. 6,371,931 (“Reflex tester and method for measurement of range of motion and peripheral vision”); U.S. Pat. No. 6,198,695 (“Event monitoring device”); U.S. Pat. No. 6,198,383 (“Prescription compliance device and method of using device”).
• Extensive operation60 describes causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual (e.g. interface module3515 configuring acountdown timer4740 to depict or support one or more physical or virtual elements at aposition4747 that visibly manifests a remainingtime interval2541 in the vicinity of patient4750). This can occur, for example, in a context in which “the vicinity” substantially comprises an interior of the patient'sroom4704 or vehicle4243 (that includes an article held or worn bypatient4750, e.g.); in which the remainingtime interval2541 is manifested as a shrinking area or difference (a wedge or arc of a needle or dial relative to an ending position, e.g.); in which the remainingtime interval2541 has a conspicuous visual expiration indicator (a vertical position or digital zero or empty hourglass, e.g.); and in whichpatient4750 would otherwise manifest inappropriate indifference (by failing to note past compliance lapses and future regimen requirements, e.g.) or anxiety (by repeatedly activating call control4730 needlessly, e.g.) about the various tasks of his health regimens.
• Extensive operation50 describes signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual (e.g. communication module3682 recording aBoolean indication2557 signifying thattask2443 was not completed on time). This can occur, for example, in a context in which “any” refers to at least one of the one or more healthcare-related tasks associated with the time interval; in whichcountdown timer4740 indicated the remainingtime interval2541 inroom4704 throughout the interval; in which regimen2338 called for the timely completion of task2443 (or lack thereof) to be recorded (in records archive920, e.g.) as a performance metric4082 (for patient4750 orcaregiver1391 or her employer, e.g.); and in which evaluation of regimens and service providers2710 (insurers orcaregivers991 who prescribe regimens, e.g.) over a period of months or years would otherwise lack objectivity. In some contexts, moreover, the institutional presence offlow5700 and countdown timers (in a care facility or home care network, e.g.) may providesuch caregivers991 better latitude to establish (by a suitable invocation ofoperation91 for configuringprotocol definition4772, e.g.) whichtiming components4782 of each new regimen are to be observed strictly (those for whichinterface module3515 andcommunication module3682 are both invoked, e.g.) and which are to be observed more casually (withoutoperation50 or withoutoperation60, e.g.) or not at all. In some contexts, moreover,invocation module2795 may be configured to coordinateflow5700 automatically (without further input from any user local to patient4750, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing an automatic timestamp and recordation as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,000,979 (“Automated patient management system”); U.S. Pat. No. 7,844,837 (“Electronic device and timer therefor with tamper event time stamp features and related methods”); U.S. Pat. No. 7,643,465 (“Method for insertion of time stamp into real time data within a wireless communications network”); U.S. Pat. No. 7,289,651 (“Image reporting method and system”); U.S. Pat. No. 7,283,566 (“Method and circuit for generating time stamp data from an embedded-clock audio data stream and a video clock”); U.S. Pat. No. 7,257,158 (“System for transmitting video images over a computer network to a remote receiver”); U.S. Pat. No. 7,100,210 (“Hood intrusion and loss of AC power detection with automatic time stamp”); U.S. Pat. No. 6,893,396 (“Wireless internet bio-telemetry monitoring system and interface”); and U.S. Pat. No. 6,656,122 (“Systems and methods for screening for adverse effects of a treatment”).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for determining whether specific input has been received from a person within a particular time interval as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,055,240 (“Method of notifying a caller of message confirmation in a wireless communication system”); U.S. Pat. No. 8,045,693 (“Message reception confirmation method, communications terminal and message reception confirmation system”); U.S. Pat. No. 7,707,624 (“System for, and method of, proving the transmission, receipt and content of a reply to an electronic message”); U.S. Pat. No. 7,483,721 (“Communication device providing diverse audio signals to indicate receipt of a call or message”); U.S. Pat. No. 7,283,807 (“Method and telecommunication system for indicating the receipt of a data message”); U.S. Pat. No. 7,031,734 (“System and method for confirming short message service (SMS) message reception in mobile communication terminal”); U.S. Pat. No. 7,020,458 (“Method and telecommunication system for indicating the receipt of a data message”); U.S. Pat. No. 6,553,341 (“Method and apparatus for announcing receipt of an electronic message”); and U.S. Pat. No. 6,122,485 (“Method and system for confirming receipt of a message by a message reception unit”).
• With reference now to flow5800 ofFIG. 58 and to other flows described above, in some variants, one or more ofoperations5822,5825 may be performed in conjunction with intensive operations described above or in preparation for one or more extensive operations described above. Alternatively or additionally, one or more ofoperations5874,5878,5879 may likewise be performed in response to one or more intensive operations described above or in conjunction with extensive operations described above.
• Operation5822 describes receiving a communication delay as data entered by a user (e.g. input module312 receivingdata2258 that includesdelay2237 from anend user device2015 orsystem841,941). This can occur, for example, in a context in whichinput module312 comprises transistor-based circuitry having an event-sequencing structure; in which the user3780 is a caregiver or patient4250 who operates an implementation of device305 (data-handlingdevice3705, e.g.); in whichinput module312 can acceptsuch data2258 as a user preference725 (e.g. by asking “when should we contact you?”); in which delay2237 comprises an integer number of days; and in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice305. Alternatively or additionally, one or more input modules311-319 may be configured to obtain othersuch data2258 as described herein. In one such configuration, for example,input module317 may be configured to let the user enter ane-mail address721,telephone number722, orother contact information720 manifesting one or more of the user's preferences725 (to be used inoperation5874 described below, e.g.).
• Operation5825 describes looking up a communication delay as a function of a therapeutic protocol (e.g. lookup module2021 returningdelay2237 selectively in response to an indication thatprotocol130 is being used for treating someone). This can occur, for example, in a context in whichlookup module2021 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice2005; in which adata component127 associated with a differenttherapeutic protocol120 includes acommunication delay2227 of 2.0 hours (as a digital expression, e.g.); in which one ormore data components137,138 specifically associated withtherapeutic protocol130 each includes acommunication delay2237 that is more than 2.0 hours; and in which an appropriate entity (acaregiver1391 or expert consultant, e.g.) has determined that such acommunication delay2237 will be more effective (than ashorter delay2227, e.g.) following a triggering event (an order or administration, e.g.) for eliciting participation from a population of patients or caregivers who adopt atherapeutic protocol130. In some contexts, for example, a table ofsuitable communication delays2226,2236,2227,2237 may be estimated (by a survey of experienced nurses or physician's assistants, e.g.) as a median time within which each givencondition160,170 typically produces a detectable change in symptoms (relating to each respective protocol, e.g.). In some contexts, moreover, a slightly longer period (by 1% to 50% or 1-3 standard deviations across a survey distribution, e.g.) may be preferable. Alternatively or additionally, the lookup result (communication delay2237, e.g.) may depend as a function of a medical condition (being shorter than acommunication delay2236 associated with thesame protocol130 but adifferent condition160, e.g.). Such a configuration oftabular data3820 may be useful, for example, in a context in which protocol130 (taking an angiotensin-converting enzyme inhibitor, e.g.) typically provides a faster detectable response in treating condition170 (shortness of breath, e.g.) than in treating condition160 (leg swelling, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing lookup functions as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,940,982 (“Method and apparatus for color space conversion using per-color selection of look-up table density”); U.S. Pat. No. 7,921,088 (“Logical operations encoded by a function table for compressing index bits in multi-level compressed look-up tables”); U.S. Pat. No. 7,916,137 (“Generation of 3D look-up tables for image processing devices”); U.S. Pat. No. 7,847,989 (“Method for conversion of a colour space using separate chromatic and luminance look-up tables”); U.S. Pat. No. 7,706,034 (“Multi-Dimensional look-up table generation via adaptive node selection based upon color characteristics of an input image”); U.S. Pat. No. 7,558,961 (“Systems and methods for embedding messages in look-up tables”); U.S. Pat. No. 7,370,069 (“Numerical value conversion using a look-up table for coefficient storage”); U.S. Pat. No. 7,346,642 (“Arithmetic processor utilizing multi-table look up to obtain reciprocal operands”); and U.S. Pat. No. 6,981,080 (“Look-up table based USB identification”).
• Operation5827 describes looking up a communication delay as a function of a medical condition (e.g. lookup module2022 selectingdelay2237 in response to an indication that a patient4250 is being treated for condition170). This can occur, for example, in a context in whichlookup module2022 comprises transistor-based circuitry having an event-sequencing structure; in which adata component136 associated with a different condition160 (pathology, e.g.) includes acommunication delay2236 of 2.0 calendar months (as a digital expression, e.g.); in which one ormore data components137,147 specifically associated withmedical condition170 each includes acommunication delay2237 that is less than 2.0 calendar months; and in which an appropriate entity (a specialist or other physician, e.g.) has determined that such acommunication delay2237 will be more effective (than alonger delay2236, e.g.) following a triggering event (an estimated delivery time, e.g.) for eliciting participation from a population ofcaregivers991,4691 orpatients3950,4250,4450,4550 who treat or suffer frommedical condition170. Alternatively or additionally, the lookup result (data component137, e.g.) may depend as a function of a therapeutic protocol (having acommunication delay2237 longer than that of adata component127 associated with thesame condition170 but adifferent protocol120, e.g.). Such a configuration of tabular data may be useful, for example, in a context in which treating condition170 (back pain, e.g.) with protocol130 (a particular weightlifting exercise in a sauna, e.g.) will not generally permit an evaluation of treatment effectiveness as soon as that of protocol120 (medication, e.g.).
• Operation5874 describes transmitting a query as an automatic response to an expiration of the communication delay (e.g. statement module381 transmitting one or more queries571-574 relating toprotocol120 or to condition160 only after waiting for a time interval specified by delay2226). This can occur, for example, in a context in which one or more ofoperations5822,5825,5827 have been performed; in whichstatement module381 comprises transistor-based circuitry having an event-sequencing structure; in which a prior communication (such as an input551-552 or query571-574 orrequest581,582 ororder1018,1118,2511-2516 or intercommunication3441-3443) or other event described herein tolled the beginning of the time interval and in which means for performing one or more extensive operations49-67 as described above include an implementation ofdevice305. Alternatively or additionally, in various embodiments,statement module381 may be configured to trigger one or more other operations (extensive operations49-67, e.g.) as described herein upon such expiration.
• Operation5878 describes causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic (e.g. response module354 taking no action if areply555 to aphone call2291 is received before an expiration ofdelay541 but otherwise initiating anothermessage2290 to the individual). This can occur, for example, in a context in whichresponse module354 comprises transistor-based circuitry having an event-sequencing structure; in which thedelay541 is on the order of ten seconds (within an order of magnitude, e.g.); in which thereply555 may take the form of a key press or utterance (as indicated inFIG. 10, e.g.) during thephone call2291; and in which the fallback mode of communication includes a delivery (by a fax orother machine2030 installed in the individual'shome289 or office or by an automatically placed order to a third party with delivery instructions, e.g.) of a physical article (in whichmessage2290 comprises one or more instance of reminder letters orgoods691, e.g.) to the individual. Alternatively or additionally, in a context in which aforeseeable reply555 may take the form of areturn phone call2291, e-mail message (containingspecific text2292, or online session3432 (via the Internet, e.g.), thedelay541 may be on the order of one hour or one week (within 1 or 2 orders of magnitude, e.g.).
• Operation5879 describes contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic (e.g. response module355 taking no action if areply555 to aprior message2290 is received within atime interval538 but otherwise initiating aphone call2291 to the individual). This can occur, for example, in a context in whichresponse module355 comprises transistor-based circuitry having an event-sequencing structure; in which the prior message2290 (comprisingtext2292 or aphone query571, e.g.) was sent by arequest module331,332 as described above; in which theprior message2290 included ahyperlink2296,menu option2297, or othersuch control2295 configured to facilitate theindividual providing input552 toresponse module355 without the need to include any direct communication with other individuals; in which thetime interval538 began when theprior message2290 was sent; in whichresponse module355 infers the “receiving no reply from the individual” if thetime interval538 ends withoutsuch input552; and in which means for performing one or more extensive operations49-67 as described above include an implementation ofdevice305. In some implementations, for example, thetime interval538 may be on the order of 3.0 days or of 3.0 months (within an order of magnitude, e.g.). Alternatively or additionally,response module355 may be configured (as an auto-dialer, e.g.) to initiate aphone call2291 or other intercommunication3441-3443 between acall center295 and the individual (a caregiver or patient4250, e.g.) as an automatic response partly based on thetime interval538 having expired and partly based on an immediate availability of a call center agent294 (manifested as anindication684 of the agent's current status, e.g.).
• With reference now to flow5900 ofFIG. 59 and to other flows described above, in some variants, one or more ofoperations5924,5926 may be performed in conjunction with intensive operations described above or in preparation for one or more extensive operations described above. Alternatively or additionally, one or more ofoperations5971,5975 may likewise be performed in response to one or more intensive operations described above or in conjunction with extensive operations described above.
• Operation5924 describes updating a locally-resident subscriber registry in response to an individual entering a service zone (e.g. update module2028 adding anidentifier733 of the individual to aregistry109 stored on a medium105 inservice zone207 in response to anindication683 that the individual has entered service zone207). This can occur, for example, in a context in whichupdate module2028 comprises transistor-based circuitry having an event-sequencing structure; in which the individual is apatient1392,4250 as described herein; in whichservice zone207 is a defined region (a county or metropolitan area, e.g.); in whichdevice2005 is onnetwork290; in whichdevice2015 is held or worn by patient4250; in whichdetection module2042 detects that patient4250 has enteredservice zone207 by comparing zone description data2217 (definingservice zone207, e.g.) withGPS data752 indicating a current position ofdevice2015; in whichdetection module2042 responds by passing theindication683 to updatemodule2028; and in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice2005. Alternatively or additionally, one ormore detection modules2042,3741-3746 may be configured to determine whether the individual has enteredservice zone207 simply by detecting whetherdevice2015 is within a direct operating range ofdevice2005. SeeFIG. 45.
• Operation5926 describes obtaining an indication that a specific pathology in a particular individual has been treated at a first hospital and an indication that the specific pathology in the particular individual has been treated at a second hospital (e.g. retrieval module343 extracting afirst record671 indicating thatpatient4450 was first treated athospital201 forpathology181 and asecond record672 indicating that the same patient4250 was later treated athospital202 for the same pathology181). This can occur, for example, in a context in whichretrieval module343 comprises transistor-based circuitry having an event-sequencing structure; in whichretrieval module343 comprises one or more of the means for performing intensive operations35-46,81-97 as described above; in whichretrieval module343 has access to one ormore records archives820,920 pertaining to treatments at bothhospitals201,202; in which the institutional readmission (whichever was later, e.g.) and some suspect conditions (those that are not objectively verifiable or even supported by evidence, e.g.) or protocols (those that signal possible caprice or ulterior motivation on the part of a patient orcaregiver4691, e.g.) together suggest a possibility of fraud or neglect that might warrant a clawback or payment reduction for one or more hospitalizations or protocols; in which therecords671,672 identify one ormore protocols130,140 performed in relation to thespecific pathology181; and in whichsuch records671,672 pertaining to the particular individual (patient4450, e.g.) both identifypathology181 in an identical or sufficiently similar manner. Such a context can exist, for example, whereretrieval module343 automatically recognizes identical orrelated pathology identifiers511 in use at bothhospitals201,202. Alternatively or additionally, a user3780 who invokes retrieval module343 (an auditor who has some cause to suspect fraud or abuse, e.g.) may provide two or more instances of pathology identifiers511 (expressed astext strings2281,2282 of a search term, e.g.) that are considered related, optionally with a name or other identifiers of the particular individual (as anothertext string2283 of the search term, e.g.).
• Operation5971 describes retrieving a medical treatment record of one individual selectively in response to an explicit indication of a payment reduction that identifies the one individual (e.g. retrieval module341 extracting whichever billing or other records561-569,3191-3197 containdata components127,137,147 pertaining to treatment of amedical condition170 of a specific patient4250 athospital202 in response to anexplicit indication2113 of a potential or actual payment reduction identifying the specific patient4250). This can occur, for example, in a context in whichretrieval module341 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more extensive operations49-67 as described above include an implementation of device305 (configured to include medical device configuration logic3305, e.g.); in which the specific patient4250 has been identified byname2111; in which the payment reduction is indicated “explicitly” insofar that theindication2113 includes anaudit identifier2112 that CMS (Centers for Medicare & Medicaid Services, a federal agency within the United States Department of Health and Human Services) associates with payment reductions so thathospitals201,202 recognize the significance of the audit; in which one or more such records561-569,3191-3197 reside inarchive820; and in which such retrieval is “selective” insofar that medical treatment records of other individuals in thesame archive820 are not included in the retrieval. This can occur, for example, in a context in which one or moreremote requestors893,993 (federal regulators, e.g.) have singled out an individual (patient4250, e.g.) suspected of “excess” institutional readmissions. Under the healthcare system in the United States, for example, Section3025 of Public Law111-148 (the “Patient Protection and Affordable Care Act,” sometimes called “Obamacare”) states that, “ . . . beginning on or after Oct. 1, 2012, in order to account for excess readmissions in the hospital, the Secretary [of Health and Human Services] shall reduce the payments that would otherwise be made to such hospital . . . .”
• Operation5975 describes retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set (e.g. retrieval module342 generating areport2245 comprisingnumerous data components127,128,137,138 relating particularly to a list or set107 of one or more medical conditions to be extracted from one ormore records archives820,920 as an automatic response to areport request2246 that effectively identifies which medical conditions are being audited pursuant to a potential or actual payment reduction). This can occur, for example, in a context in whichretrieval module342 comprises transistor-based circuitry having an event-sequencing structure; in which at least onesuch condition180 comprises apathology181 associated with one or morespecific text strings2282,2283 (e.g. “addict” or “stress disorder” listed in the subset ofdata components127,128,137,138 comprising the report2245) and in which the potential or actual payment reduction is implicitly evident in a report type521 (a readmission audit, e.g.), a request authorization522 (identifying a federal agency or other office responsible for identifying or preventing payment reductions, e.g.), a user identifier523 (of aremote requestor893,993 who works for Medicare or Medicaid, e.g.), or othersuch indications525; in which each data component inrecords archives820,920 includes one or more instances of records561-569,3191-3197 described herein; and in which such retrieval is “selective” in that it excludes some records (indata component126, e.g.) that reside in one ormore records archives820 based on their relation to amedical condition160 that is not of interest. Alternatively or additionally, in some contexts,retrieval module342 may implementoperation5975 by executing a request (usingsearch term2280, e.g.) that sets forth one or more pathological conditions160 (e.g. “injur” or “lacerat” expressed in an “ANDNOT” clause of asearch term2110,2280) that are to be excluded from thereport2245.
• With reference now to flow6000 ofFIG. 60 and to other flows14-19,5800,5900 described above, in some variants, one or more ofoperations6021,6027 may be performed in conjunction with intensive operations described above or in preparation for one or more extensive operations described above. Alternatively or additionally, one or more ofoperations6075,6078 may likewise be performed in response to one or more intensive operations described above or in conjunction with extensive operations described above.
• Operation6021 describes detecting a wireless device within an effective range of a stationary device (e.g. detection module2046 determining thatdevice2015 is within an effective range ofdevice2005 by establishing awireless linkage2011 with device2015). This can occur, for example, in a context in whichdetection module2046 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice2005 as a stationary device that also implements device242 (affixed to a building or other stationary structure, e.g.); in whichdevice2015 includes one or more media as described above and an implementation ofdevice305 that does not have a power supply (comprising apassive RFID transponder397, e.g.); and in whichdevice2015 is configured to respond to a wireless signal fromdevice2005 by transmitting aunique wireless signal2254 recognizable todetection module2046 ifdevice2015 is within the effective range (linkage2011, e.g.) ofdevice2005. Alternatively or additionally, in some contexts,device2015 may comprise apassive USID transponder398 in a system configured as described above, mutatis mutandis.
• Operation6027 describes obtaining an explicit indication whether or not a record of treating a medical condition in a particular person with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent (e.g. configuration module325 receiving one or more yes/novalues2161,2162 from physicians orother caregivers991,1191 in response to one ormore queries2171,2172 directed to whether a patient's records671-675 includedsuitable annotations2293 of extrinsic evidence in support of anyunconventional protocols130,140 prescribed or used by the patient4250). This can occur, for example, in a context in whichconfiguration module325 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice305; in whichconfiguration module325 directs such a query tocaregivers991,1191 who are editing one ormore data components126,136,146 of the patient's medical record674 (relating to one ormore protocols120,130,140 being performed, e.g.); in whichconfiguration module325 is configured to recognize one ormore protocols120 as conventional (standard or normal or common, e.g.); and in whichconfiguration module325 is configured to accept such evidentiary content432 (scans811 or references orannotations2293, e.g.) documenting any applicable precedent (research studies or reports or prominence indications or anecdotal data, e.g.). In some contexts,configuration module325 may requiresuch content432 or an affirmation of its existence (asvalue2161, e.g.) before permittingsuch records674 to be saved, for example, or before permitting any order forother protocols130,140 (for non-emergency treatments, e.g.) to be placed. Alternatively or additionally,configuration module325 may be operable to send anotification message2290 to another entity1091 (a hospital administrator, e.g.) as an automatic response to anyunconventional protocol140 being ordered by any caregiver at aparticular hospital202 unless one or moresuch values2161,2162 are received (concerning extrinsic evidence and precedent, e.g.). In some contexts, moreover,configuration module325 is itself configurable by such entities1091 such that each can control what kinds of notice they receive (by selectively subscribing to receive notices ofunprecedented protocols140 being used with or without subscribing to receive notices of unconventional-but-precedented protocols130 being used, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for searching a collection of health-related treatments as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,010,664 (“Hypothesis development based on selective reported events”); U.S. Pat. No. 7,991,485 (“System and method for obtaining, processing and evaluating patient information for diagnosing disease and selecting treatment”); U.S. Pat. No. 7,970,552 (“Diagnostic system for selecting nutrition and pharmacological products for animals”); U.S. Pat. No. 7,959,568 (“Advanced patient management for identifying, displaying and assisting with correlating health-related data”); U.S. Pat. No. 7,853,626 (“Computational systems for biomedical data”); U.S. Pat. No. 7,630,762 (“Medical device with resuscitation prompts depending on elapsed time”); U.S. Pat. No. 7,485,095 (“Measurement and analysis of trends in physiological and/or health data”); U.S. Pat. No. 7,181,375 (“Patient data mining for diagnosis and projections of patient states”); and U.S. Pat. No. 6,665,558 (“System and method for correlation of patient health information and implant device data”).
• Operation6075 describes initiating a telephone call between a first individual and a second individual as an automatic response to the first individual not being compliant with a health regimen and to an indication that the second individual is available (e.g. response module358 creating a teleconference session orother phone call2291 that includespatient250 andagent294 in response to anindication686 thatpatient250 is currently not compliant with one ormore components651,652,4011-4016 of one ormore health regimens650,2331-2339 contemporaneously with anindication687 ofagent294 being available to participate in the phone call2291). This can occur, for example, in a context in whichresponse module358 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more extensive operations49-67 as described above include an implementation ofdevice305; in whichagent294 providesindication687 explicitly and directly to response module358 (by clicking an “available” button on adesktop system841,941 that implements an auto-dialer, e.g.); in whichsuch components651,652 include at least one of a requirement (to use an exercise machine or takeparticular drugs141 or nutraceuticals, e.g.) or a restriction (to refrain from smoking, e.g.); and in which one ormore devices2005,2015 (comprising one ormore sensors2054, e.g.) signal compliance or noncompliance with the regimen(s). A sensor activation can signal noncompliance with aregimen component651 that forbids snacking during certain hours, for example, by detecting akitchen cupboard2071 opening. Alternatively or additionally, an implementation ofsensor2054 can detect compliance with aregimen component652 that requires a task (medication or exercise, e.g.) to be performed during aparticular time interval538 by detecting a movement in something associated with the task (anexercise machine2073 ordrug dispenser actuator2072 or “task done”button2079 on a handheld2074, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for detecting a movement of some or all of a device as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,082,122 (“Mobile device having a motion detector”); U.S. Pat. No. 7,973,820 (“Motion detector and image capture device, interchangeable lens and camera system including the motion detector”); U.S. Pat. No. 7,967,141 (“Device for the automatic detection of the movement of objects”); U.S. Pat. No. 7,887,493 (“Implantable device employing movement sensing for detecting sleep-related disorders”); U.S. Pat. No. 7,826,310 (“Acoustic navigation device and method of detecting movement of a navigation device”); U.S. Pat. No. 7,635,846 (“Motion detector device with rotatable focusing views and a method of selecting a specific focusing view”); U.S. Pat. No. 7,511,260 (“Encoder device for detecting movement”); U.S. Pat. No. 7,454,299 (“Device and method for detecting an end of a movement of a valve piston in a valve”); and U.S. Pat. No. 6,920,699 (“Device for and method for detecting a relative movement between two machine parts which are movable relative to one another”).
• Operation6078 describes signaling a decision whether to transfer a resource to a first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call (e.g. response module357 transferringcredits693 into anaccount616 of patient4250 in response to anindication685 that patient4250 participated in aphone call2291 withcall center295 about one ormore health regimens650,2331-2339). This can occur, for example, in a context in whichresponse module357 comprises transistor-based circuitry having an event-sequencing structure; in which anagent294 ofcall center295 participates in thephone call2291; in which the resource (incentive694, e.g.) is effective (large enough, e.g.) to motivate a particular patient4250 sometimes to take the call but not large enough to motivate the patient to violate the regimen; and in which a primary purpose ofcall center295 is to initiate such telephone calls in response to one or more signals2253 (a device-generated notification or webcam feed, e.g.) directly or indirectly indicating that a patient4250 is apparently noncompliant with a time-critical component651 (relating to dosages of an antibiotic, e.g.) of regimen. This can occur, for example, in a context in which patient4250 complies with theregimen component651 in a portion of the patient'shome289 that thecall center agent294 can monitor (via acamera2053, microphone, orother sensor2054, e.g.); in which patient4250 has been informed of theincentives694; in which an instance ofdevice305,2005 as described above resides in the patient'shome289 and on one or more networks described above; and in whichresponse module357 performsoperation6078 by causing food orother goods691 to be provided to patient4250 (delivered to the patient'shome289 by a third-party supplier who receives anorder618 fromresponse module357, e.g.) as an automatic response to patient4250 accepting the phone call fromcall center295. Alternatively or additionally, an instance ofdevice305 may be configured to deliver such goods691 (in adispensing machine2030 at the patient's home, e.g.).
• With reference now to flow6100 ofFIG. 61 and to other flows14-19,5800,5900,6000 described above, in some variants, one or more ofoperations6121,6123 may be performed in conjunction with intensive operations described above or in preparation for one or more extensive operations described above. Alternatively or additionally, one or more ofoperations6174,6177 may likewise be performed in response to one or more intensive operations described above or in conjunction with extensive operations described above.
• Operation6121 describes causing a locally-resident subscriber registry to be updated (e.g. invocation module371 triggeringupdate module2028 to remove anidentifier733 of the individual from aregistry109 stored on a medium105 inservice zone207 in response to anindication683 that the individual is not in service zone207). This can occur, for example, in a context in whichupdate module2028 comprises transistor-based circuitry having an event-sequencing structure; in which the individual is apatient4250,1292 as described herein; in whichservice zone207 is a defined region (a county or metropolitan area, e.g.); in whichdevice2005 is onnetwork290; in whichdevice2015 is held or worn by patient4250; in whichinvocation module371 detects that patient4250 leftservice zone207 by receiving an indication that patient4250 is now in another service zone208 (athome289, e.g.); and in whichinvocation module371 responds by transmitting arequest772 for the removal of the individual from theregistry109. Alternatively or additionally,invocation module371 anddetection module2044 may be configured jointly to determine whether the individual is still inservice zone207 simply by detecting whether device2015 (worn or carried by the individual, e.g.) is within a direct operating range ofdevice2005. Alternatively or additionally,invocation module371 may be configured to invoke one or more other functional modules as described with reference to flows herein.
• Operation6123 describes determining whether a portable device is in a vicinity of another device (e.g. detection module2041 detecting whether twodevices2005,2015 are close enough that asensor2054 in one can directly detect atransponder1225 or otherdetectable structure2075 of the other). This can occur, for example, in a context in whichdetection module2041 comprises transistor-based circuitry having an event-sequencing structure; in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice2005; in which one or bothdevices2005,2015 implement an instance ofdevice305; in whichdetection module2041 is configured to receive asignal2252 fromsensor2054; in which such detection is “direct” insofar that awireless linkage2011 between thedevices2005,2015 consists of free space or other passive media (air, e.g.); and in which one or bothdevices2005,2015 are portable (configured to be worn or carried in one hand, e.g.). In some contexts, for example, acamera2053 can transmit a signal2252 (image, e.g.) indicating a detectable structure2075 (a barcode or other visible feature that is unique todevice2015, e.g.) thatdetection module2041 is configured to recognize. Alternatively or additionally, one or moreother devices241,242 may be configured (e.g. as a tower or satellite or wall-mounteddevice1343, e.g.) to performoperation6123 by detecting bothdevices2005,2015 in acommon location204,1304 simultaneously and the two devices are “in a vicinity” of one another insofar that both are within 50 meters of the same point (e.g. at a “third”device241,242).
• Operation6174 describes responding to an event with an audible notification (e.g. response module353 causingspeaker2057 to signal acaregiver1291,1391 or other entity1091 when one or more intensive operations35-46,81-97 are completed). This can occur, for example, in a context in whichresponse module353 comprises transistor-based circuitry having an event-sequencing structure; in which adevice305 orsystem841,941 described above includes an implementation ofdevice2005. Alternatively or additionally,response module353 may comprise one or more of the means for performing extensive operations49-67 as described above.
• Operation6177 describes responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment (e.g. response module352 responding to arequest582 forrecords565,566 indicating thatprotocol120 was administered but that lack anyprominence indications1126,1127 relating to protocol120). This can occur, for example, in a context in whichresponse module352 comprises transistor-based circuitry having an event-sequencing structure; in which request582 comprises a message from an entity that pays for at least some of the first medical treatment (Medicare or Medicaid, e.g.) such as remote requestor893 (an auditor or regulator, e.g.); in which areport type521,request authorization522, or othersuch indication525 signals a potential or actual payment-reduction event (manifesting a reduction that has resulted or may result from a failure to justify the use ofprotocol120 in treating one or more specificmedical conditions160, e.g.) and in which asingle order1018 forprotocol120 does not constitute a “prominence indication” for purposes of determining whether the use ofprotocol120 itself should be scrutinized (made subject to a payment reduction, e.g.). Alternatively or additionally,response module352 may invoke one ormore retrieval modules825,925 configured to access at least one records archive920 that contains a prominence indication1137 (average evaluation1053 oruse count1054, e.g.) for anotherprotocol130.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for identifying records relating to an unjustified action as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,793,835 (“System and method for identity-based fraud detection for transactions using a plurality of historical identity records”); U.S. Pat. No. 7,668,843 (“Identification of anomalous data records”); U.S. Pat. No. 7,650,321 (“Two classifier based system for classifying anomalous medical patient records”); U.S. Pat. No. 7,493,281 (“Automatic notification of irregular activity”); U.S. Pat. No. 6,944,599 (“Monitoring and automatic notification of irregular activity in a network-based transaction facility”); and U.S. Pat. No. 6,636,592 (“Method and system for using bad billed number records to prevent fraud in a telecommunication system”).
• With reference now to flow6200 ofFIG. 62 and to other flows14-19,5800,5900,6000,6100 described above, in some variants, one or more ofoperations6224,6229 may be performed in conjunction with intensive operations described above or in preparation for one or more extensive operations described above. Alternatively or additionally, one or more ofoperations6272,6273,6276 may likewise be performed in response to one or more intensive operations described above or in conjunction with extensive operations described above.
• Operation6224 describes detecting a passive wireless transponder within a vicinity of a vehicle (e.g. detection module2043 receiving areturn signal2251 from a passive device implementing a radiofrequency identification transponder397 or an ultrasound identification transponder398). This can occur, for example, in a context in whichdetection module2043 comprises transistor-based circuitry having an event-sequencing structure; in whichmedium2205 comprises the passive device (a semiconductor chip or other device lacking apower supply2058, e.g.); in which one or more detection modules2041-2046 reside aboard an ambulance1295 (indevice1241, e.g.) or other vehicle (indevice241, e.g.); and in which means for performing one or more intensive operations35-46,81-97 as described above include an implementation ofdevice2005. Alternatively or additionally, detection module2043 (implemented in astationary device242, e.g.) may be configured to performoperation6224 by detecting a passive wireless transponder that is aboard the vehicle (indevice1241, e.g.).
• Operation6229 describes obtaining an indication whether an individual is compliant with a health regimen (e.g. input module318 receiving timingdata453 relating to when a patient is taking medications at home). This can occur, for example, in a context in whichinput module318 comprises transistor-based circuitry having an event-sequencing structure; in which one ormore caregivers991,1191 prescribe ahome care regimen650 and in which one or moreparticular components652 of the regimen (antibiotics or other medications, e.g.) are crucial to a favorable outcome for a specific patient4250. Alternatively or additionally,input module318 may be configured to provide additional data relevant to a determination of regimen compliance (raw data712 with one ormore timestamps711 from asensor2054 in the patient'shome289, e.g.) into the patient'srecord673. This can occur, for example, in a context in which there are one or more indications685 (diagnostic data490 orprotocol data450, e.g.) that an institutional readmission has resulted from a behavior of a patient4250 or at-home caregiver and not from anything that occurred earlier (while in-patient athospital201, e.g.).
• Operation6272 describes triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive (e.g. retrieval module344 transmitting asearch term2110 tosearch engine2198 that searches records archive820 and generates a search result2130 that excludes one ormore data components138 therein and includes one or moreother data components126 therein). This can occur, for example, in a context in whichretrieval module344 comprises transistor-based circuitry having an event-sequencing structure; in whichsearch term2110 identifies one or more selective inclusion criteria2101 (e.g. words or codes identifying condition160) and one or more selective exclusion criteria2102 (e.g. words orcodes identifying protocols130,140). Alternatively or additionally,retrieval module344 may be configured to trigger a search of other search records archive920 (by invokingretrieval module925, e.g.) and to include the result2130 (inreport2244, e.g.).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for performing selective data retrieval as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,068,603 (“Focused retrieval of selected data in a call center environment”); U.S. Pat. No. 7,966,532 (“Method for selectively retrieving column redundancy data in memory device”); U.S. Pat. No. 7,203,633 (“Method and system for selectively storing and retrieving simulation data utilizing keywords”); U.S. Pat. No. 6,519,327 (“System and method for selectively retrieving messages stored on telephony and data networks”); U.S. Pat. No. 6,421,726 (“System and method for selection and retrieval of diverse types of video data on a computer network”); U.S. Pat. No. 6,185,573 (“Method and system for the integrated storage and dynamic selective retrieval of text, audio and video data”); U.S. Pat. No. 6,137,914 (“Method and format for storing and selectively retrieving image data”); and U.S. Pat. No. 6,094,573 (“System and a method for selective data retrieval from a remote database on basis of caller line identification and user specific access codes”).
• Operation6273 describes transmitting a real-time notification to a first person as an automatic response to an interface in a vicinity of a second person detecting a particular event relating to the second person (e.g. update module2029 transmitting one or more records561-569,3191-3197,671-675 or other data components136-138 to the “first” person upon detecting aninput551,552 or other action taken by the “second” person). This can occur, for example, in a context in whichupdate module2029 comprises transistor-based circuitry having an event-sequencing structure; in which the “first” person is acaregiver991,1191,1291 orpatient992,4250 or administrator (acall center agent294 or other entity1091, e.g.); in which the interface comprises one or more of the above-described devices; in which such data components136-138 relate to the “second” person or todevice2005; in which the “particular event” comprisesdevice2015 entering a detection range of something carried or worn by the “second” person (manifesting the vicinity of the 2nd person, e.g.); and in which means for performing one or more extensive operations49-67 as described above include an implementation ofdevice2005. Alternatively or additionally,update module2029 may be configured to transmit such a notification (using ane-mail address721 ortelephone number722, e.g.) in response to a “particular event” occurring within device305 (comprising one or more computation or detection events described herein or a combination thereof, e.g.). In some contexts, for example,update module2029 may be configured to respond to one or more records561-569,3191-3197,671-675 as described herein being saved without a prominence indication or annotation2293 (in a context in which the “second” person is a caregiver failing to document an unconventional treatment being ordered, e.g.).
• Operation6276 describes implementing a failsafe preventing medical equipment from operating until an order associating the medical equipment with a patient is received and until an indication is received that the patient is in a vicinity of the medical equipment (e.g. detection module2045 enablingmedical equipment2080 to function only after receiving areport2243 orother indication688 that an authorized caregiver has generated such an order and only after detecting that thespecific patient1392,4250 is in a vicinity of the medical equipment2080). This can occur, for example, in a context in whichdetection module2045 comprises transistor-based circuitry having an event-sequencing structure; in which one ormore orders1018,618 as described above call for particulardiagnostic data490 in relation to patient4250; in which such orders explicitly or implicitly identify the equipment2080 (corresponding to a particular biometric481,test result482, computedtomography scan483, orother image484, e.g.) in association with the patient for whom they are to be obtained; in whichdetection module2045 is configured to determine whether a location or device that includes apatient identifier731,1331 is in a vicinity of theequipment2080; and in whichdetection module2045 receivesindication688 viainput module314. This can occur, for example, in a context in which one or more detection modules2041-2046 are mounted on theequipment2080 or in the same room (as a stationary instance ofequipment2080, e.g.). In some contexts, moreover, asingle device305 or room (office or server room, e.g.) or facility (hospital201, e.g.) may be configured to contain an entire system described herein. Alternatively or additionally, an instance ofdetection module2045 configured to detectequipment2080 may reside on the specific patient4250 or in a location associated with the patient4250 (in the patient's room, e.g.). Alternatively or additionally,module314 may be configured to receive other data (one or more of indications681-687, e.g.) on data-handling media as described herein (atFIG. 4-7 or21-26, e.g.).
• Referring again to the flow variants of FIGS.48 and58-62 described above,intensive operation93 may (optionally) be performed by a specialpurpose interface module3513 implemented ascircuitry3044 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to generate a Boolean indication (implemented as a voltage level of a particularelectrical node3484, e.g.) whether or not user3780 is compliant with one or more regimens2332-2336. This can occur, for example, in a context in which such circuitry can determine apparent regimen compliance (positively or otherwise) based upon raw data (from asample tester3060 orcamera3707 or other sensors described herein, e.g.) or upon one or more test records3196 (received from atechnician2761 who tests a fluid sample from user3780, e.g.). In some variants, for example, one or moresuch test records3196 may be associated with a record designation pattern3841 (comprising a character or phoneme sequence naming user3780 or his caregiver and designating aspecific record3831 thereof, e.g.). Alternatively or additionally,tabular data3820 may include one or more recognizable human face patterns,fingerprint patterns2531, retinal scan patterns, recognizable human voice or otheraudible patterns2532, or other suchbiometric data2540 as apattern3841 that effectively designates anotherrecord3832. Alternatively or additionally,tabular data3820 may include one or more serial numbers as a pattern3841 (recited during a telephonic intake session or other electronic intercommunication withcaregiver4691 before his arrival athospital4602, e.g.) that effectively designates anotherrecord3833.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for recognizing whether content matches a pattern as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,005,875 (“Automatic data transmission in response to content of electronic forms satisfying criteria”); U.S. Pat. No. 7,949,191 (“Method and system for searching for information on a network in response to an image query sent by a user from a mobile communications device”); U.S. Pat. No. 7,941,124 (“Methods of providing messages using location criteria and related systems and computer program products”); U.S. Pat. No. 7,689,705 (“Interactive delivery of media using dynamic playlist generation subject to restrictive criteria”); U.S. Pat. No. 7,668,647 (“Computer method and apparatus for filling in an entry field using geographical proximity and character criteria”); U.S. Pat. No. 7,580,952 (“Automatic digital image grouping using criteria based on image metadata and spatial information”); U.S. Pat. No. 7,394,011 (“Machine and process for generating music from user-specified criteria”); U.S. Pat. No. 7,127,493 (“Optimizing server delivery of content by selective inclusion of optional data based on optimization criteria”).
• Also in such variants,extensive operation55 may be performed by a specialpurpose configuration module3702 implemented as or operably coupled withcircuitry3317 having an event-sequencing structure configured to cause a wearable article to indicate a data component as an automatic and conditional response (operably coupled with a sticker-printing dispenser4633 or other machine at the “first” care facility that can configure awrist band1223,badge3851, item of clothing,sticker4634, or other such article to include the data indicating the current health status, e.g.). This can occur, for example, in a context in which the wearable article displays (via ascreen display2426 or ink-printedsurface2427 thereof, e.g.) at least some of the designated record (indicating the current health status as one or more coded colors orbarcodes2918, e.g.) and in which (an instance of) acomputer2670 or other data-handlingdevice3705 resides in one ormore networks3890 accessible to the first care facility. Moreover a wall-mountedkiosk4630 or other stationary device3760 (innursing home3802, e.g.) configured to recognize the wearable article may, in some contexts, reside innetwork3890.
• Referring again to the flow variants of FIGS.49 and58-62 described above,intensive operation81 may be performed by a specialpurpose detection module3741 implemented as or operably coupled withcircuitry3041 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to generate a Boolean indication (implemented as a voltage level of a particularelectrical node3485 or a magnetic configuration of a storage element on a disk drive, e.g.) whether or not an individual is compliant with a regimen2331-2339. This can occur, for example, in a context in whichdetection module3741 is operably coupled with one or more of an administration detection module2848 (configured to detect compliance with amedicinal component4011, e.g.); asample tester3060 or other measurement equipment (configured to detect compliance with one or moremedicinal components4011 ormeasurement components4012 oromission components4013, e.g.); specially-configuredcupboards2071 orsmoke detectors3958 or other environmental sensors2054 (configured to detect compliance with a dietary orother omission component4013, e.g.); exercise machines2073 (configured to detect compliance with anexercise component4014, e.g.); or other such special-purpose monitoring equipment2080. In some contexts, for example, such anoncompliance indication2483 may comprise a percentage of events (of detection, e.g.) that were indicative of compliance being less than 100% or falling below athreshold2453 defined by a service provider2710 (consultant or insurance provider, e.g.).
• Also in such variants,intensive operation94 may (optionally) be performed by a specialpurpose interface module3511 implemented as or operably coupled with circuitry3273 having an event-sequencing structure configured to provide a local Boolean indication (implemented as a voltage level of a particularelectrical node3486, e.g.) whether or not an individual is available (at one or more remote call centers, e.g.). This can occur, for example, in a context in which a “high” voltage signifies that the “second” individual is available to participate in theelectronic intercommunication3442 and in which a “low” voltage signifies that the second individual may or may not be available to participate in theelectronic intercommunication3442. Alternatively or additionally,interface module3511 may be configured to generate anegative indication2486 of availability as an automatic and conditional response to a signal2565 (from aremote call center295, e.g.) indicating that anearpiece3749 or other data-handling device3705 (configured to permitagent3994 to speak to patient3950 or hear her reply, e.g.) is offline or that a stationary zone (a workstation or office incall center3995, e.g.) is unoccupied.
• Also in such variants,extensive operation59 may be performed by a specialpurpose communication module3681 implemented as or operably coupled withcircuitry3314 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to initiate an electronic intercommunication3441 (telephone call3431, e.g.) between the first and second individuals as an automatic and conditional response to a particular combination of voltage levels of respectiveelectrical nodes3485,3486. This can occur, for example, in a context in whichcommunication module3681 initiates such atelephone call3431 by auto-dialing a handheld2074 associated with the first individual or in whichcommunication module3681 automatically activatesintercom3959 so thatagent3994 and patient3950 can converse. Moreover in some variants aparticular agent3994 may be able to maintain a ranked position so that anotheravailable agent294 will not be selected to participate in theintercommunication3441 with a particular first individual whileagent3994 is available, perhaps fostering an effective rapport with particular patients over time.
• Referring again to the flow variants of FIGS.50 and58-62 described above,intensive operation86 may be performed by a specialpurpose interface module3512 implemented ascircuitry3121 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to receive a scalar indication2345 (a quantification fromcomputation module3772 expressed via two or more electrical nodes3472-3473, e.g.) of how well patient992 has complied with a regimen2334 that includes amedicinal component4011. This can occur, for example, in a context in which (an instance of) acomputer2670 or other data-handlingdevice3705 including a medium2305 that resides in or onseveral networks2790,31903590,4090 and in whichcomputation module3772 generates the scalar indication2345 as an inverse (reciprocal, e.g.) of another such compliance-indicative quantification described herein (e.g. indications2343,2344) or as a sum or other aggregation of such values or as an inverse thereof.
• Also in such variants,intensive operation97 may be performed by a specialpurpose input module3625 implemented as or operably coupled withcircuitry3122 having an event-sequencing structure configured to receive from care provider2783 (a personal trainer, e.g.) a scalar indication2346 (a ranking relative to other clients, e.g.) of how well a particular individual2782 is currently complying with anexercise component4014 of a personalized regimen2332. This can occur, for example, in a context in which one or more available records3191-3197 provide contact information relating to providers who have recently served the second individual (individual2782, e.g.); in which individual2782 has requested or otherwise authorized that such providers periodically provide regimen compliance information (by subscribing or enrolling, e.g.) pursuant to program requirements (that facilitateflow5000, e.g.) of a provider network; and in which the “second” device is a handheld device (owned by care provider2783, e.g.) running a data-gathering app implementing such program requirements (automatically gathering scalar indications that may be missing or out-of-date, e.g.). In some contexts, for example, a program may provide that such evaluations become part of the particular individual'smedical record3195 without a specific notification to the individual so that the individual will not have an occasion to exert pressure in regard to such ranking.
• Also in such variants,extensive operation49 may be performed by a specialpurpose computation module3771 implemented ascircuitry3322 having an event-sequencing structure configured to compute a result2312 of arithmetically combining two or more scalar indications2343-2349 (a weighted average having normalizing coefficients and offsets so that each summand, for example, is effectively expressed as a percentage). In some contexts, for example, atechnician2761 configuresinvocation module2795 to identify which scalar indications to include in the mathematical combination (by executing a search of all available records3191-3197, e.g.) to determine which patients (having various regimens2331-2339, e.g.) are currently being served by a particular entity (caregiver991, e.g.) and thereby to obtain two or more scalar indications (by extracting or requesting such scalar values, e.g.) suitable for use bycomputation module3771. Alternatively or additionally,invocation module2795 may be configured to transmit such results2312 (as aconditional notification4072 toservice provider2710, e.g.) under one or more conditions2302 (in response to result2312 exceeding amaximum threshold2455 or falling below aminimum threshold2454, e.g.) defined by organizational management (relating to a class of caregivers, e.g.). Such embodiments may establish a meaningful advance over conventional monitoring, for example, in contexts in which diverse health regimens are in use and in which distinguishing between excellent and mediocre compliance facilitation strategies byrespective service providers2710 would not otherwise achieve much objectivity.
• Referring again to the flow variants of FIGS.51 and58-62 described above,intensive operation82 may be performed by a specialpurpose detection module3744 implemented ascircuitry3052 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to recognize aperson4144 depicted in aportion4172 of animage4170. This can occur, for example, in a context in whichdetection module3744 is configured to execute facial recognition software (1) to define theportion4172 that corresponds to a shape or color region generally recognizable as a person's face or (2) to determine aparticular patient designation2502 by matching the face visible withinportion4172 with facial parameters of known patients (or both).
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for recognizing faces or other three-dimensional structures as described herein without undue experimentation. See, e.g., U.S. Pat. No. 7,925,058 (“Iris recognition system and method using multifocus image sequence”); U.S. Pat. No. 7,873,189 (“Face recognition by dividing an image and evaluating a similarity vector with a support vector machine”); U.S. Pat. No. 7,860,281 (“Method for the automatic recognition of an object in an image”); U.S. Pat. No. 7,778,483 (“Digital image processing method having an exposure correction based on recognition of areas corresponding to the skin of the photographed subject”); U.S. Pat. No. 7,706,068 (“Image three-dimensional recognition apparatus”); U.S. Pat. No. 7,664,339 (“Image processing method for object recognition and dynamic scene understanding”); U.S. Pat. No. 7,345,574 (“Image recognition facilitated movable barrier operations method and apparatus”); U.S. Pat. No. 7,239,275 (“Methods and systems for tracking signals with diverse polarization properties”); U.S. Pat. No. 7,092,566 (“Object recognition system and process for identifying people and objects in an image of a scene”); U.S. Pat. No. 7,062,073 (“Animated toy utilizing artificial intelligence and facial image recognition”); U.S. Pat. No. 6,831,993 (“Vehicle security systems and methods employing facial recognition using a reflected image”).
• Also in such variants,intensive operation88 may be performed by a specialpurpose interface module3516 implemented as or operably coupled withcircuitry3131 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips as described herein and operably coupled with a user interface comprising ascreen display2426 and a user input, e.g.) configured to permit an individual (user3780, e.g.) to select among two ormore portions2581,2582 of an image2580 (visible onscreen display2426, e.g.) via auditory ortouchscreen input2472. This can occur, for example, in a context in which theimage portion2582 selected by user3780 depicts the first patient (user3880, e.g.) or in a context in which user3780 validates or otherwise selectsimage portion2582 verbally (by speaking “yes” or “option three” intomicrophone3708, e.g.).
• Also in such variants,extensive operation51 may be performed by a specialpurpose triggering module3552 implemented as or operably coupled withcircuitry3318 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips as described herein and operably coupled with a remote server or other network resource containing patient records3191-3197, e.g.) configured to retrieve and present medical data about the first patient (user3880 orperson4144, e.g.) as an automatic and conditional response (touser input2471,2472 selectively indicating the first patient, e.g.). This can occur, for example, in a context in which such medical data includestabular data3820 or other indications2341-2349 pertaining to the indicated patient as described herein; in which (an instance of) acomputer2670 or other data-handling device3705 (implemented innetwork3890, e.g.) includes several storage or other media described above (inFIGS. 21-26, e.g.); and in which such “signaling” ofoperation51 includes presenting such medical data visually (viascreen display2426 or ink-printedsurface2427, e.g.) or audibly (viaearpiece3749 orspeaker2057, e.g.). In some contexts, moreover, such medical data may includehealth status indicators3842 derived from secondary sources (from Facebook or similar social networking websites, e.g.) onnetwork3890. Alternatively or additionally, such “signaling” may include transmitting the medical data to a handheld or wearable data-handling device used by the first patient (user3880, e.g.) or by another entity (user3780, e.g.).
• In some implementations offlow5100, a camera2053 (comprising astationary device3760 or portable data-handlingdevice3705, e.g.) and a person (user3780, e.g.) may performoperation82 concurrently (in ahallway3709 in which the first patient is visible, e.g.). This can occur, for example, in a context in which the first patient is in view of both user3780 andcamera2053; in which anothercamera3707 obtains animage2579 of user3780 (at about the same time, e.g.) as theuser input2471; and in whichinterface module3516 includes acomputation module3773 configured to process such user input (images2579,2580, e.g.) to determine who user3780 was pointing or looking at (as aparticular portion4152 of a direct field of view4150, e.g.) as the selective indication. Alternatively or additionally, adetection module3742 operably coupled to triggeringmodule3552 may be configured to identify some all persons4141-4144 visible within animage4170 or other field of view4150 (one by one, e.g.) and to indicate continuously which such visible persons are fully identified (with green blinking brackets ontouchscreen4115, e.g.) or are not fully identified (with red or yellow blinking brackets ontouchscreen4115, e.g.) even beforeuser input2471,2472 selectively indicating the “first patient” is obtained. In some variants, for example, triggeringmodule3552 may pre-fetch the “medical data about the first patient” to a local data-handlingdevice3705 in anticipation of receivingsuch user input2471,2472. In some variants, data-handlingdevice3705 may be configured to forego operation88 (conditionally) in contexts in which a particular field of view4150 includes only one patient (fully identified bydetection module3742, e.g.). Alternatively or additionally, in some embodiments, data-handlingdevice3705 may include a mode control switch (implemented as a voltage level of a particularelectrical node3483 that selectively enables or disables triggeringmodule3552 from performingoperation51, e.g.) accessible to user3780 (so that data-handlingdevice3705 may continue to perform telephonic or other communication functions whether or not flow5100 is fully implemented, e.g.). Moreover a wall-mountedkiosk4630 or otherstationary device3760 configured to interact withdevice4110 may, in some contexts, reside onnetwork2790.
• Referring again to the flow variants of FIGS.52 and58-62 described above,intensive operation89 may be performed by a specialpurpose input module3624 implemented as or operably coupled withcircuitry3044 having an event-sequencing structure (an arrangement of transistors and conductors in one or more semiconductor chips, e.g.) configured to generate a Boolean indication2551 (implemented as a voltage level of a particularelectrical node3476, e.g.) whether or not patient992 and hercaregiver991 are compliant with regimen2334. This can occur, for example, in a context in whichdetection module3745 is configured to generateindication2551 by comparing one or more scalar indications2343-2345 against a minimum threshold2454 (0.9 or 90%, e.g.) positively indicative of compliance or against a maximum acceptable failure/violation rate (threshold2455, e.g.) permitted by regimen2334.
• Also in such variants,intensive operation96 may be performed by a specialpurpose triggering module3551 implemented as or operably coupled with circuitry3271 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to notifypatient992 or hercaregiver991 of anartificial incentive2640 in response to anegative indication2989 of compliance with regimen2334. This can occur, for example, in a context regimen2334 includes a training component,measurement component4012, record keeping component, or other component in whichcaregiver991 participates and in which triggeringmodule3551 responds to one or morepositive indications2987 ornegative indications2989 of compliance by causing asystem941 belonging tocaregiver991 to receive an electronic message2290 (email or SMS text or voice message, e.g.) that includes anindication2552 of the artificial incentive2640 (one ormore points2616 orcredits2617 orother resources2619, e.g.) offered in exchange for participating in a dialog3433 (with anagent3994 ofcall center3995, e.g.). Alternatively or additionally, triggeringmodule3551 may be configured to initiate a text chat session3432 (withpatient992 orcaregiver991 via a service like “Instant Messenger” or on a handheld device, e.g.) with a bot-generated remark like “Hey, great job on keeping up with [regimen X]. You are eligible for [prize Y] if you take a quick survey. Are you interested?” Or in response to aregimen noncompliance determination2988 triggeringmodule3551 may (optionally) be configured to initiate thedialog3433 with a bot-generated remark like “Say, we have concerns about [regimen X] and we really need to talk to you. In fact, we'll give you [prize Y] just for having a chat with us. Are you interested?” In such contexts, for example, thedialog3433 may be established when the remark recipient (patient992 or hercaregiver991, e.g.) provides a device-detectable affirmative reply (toagent3994, e.g.). In light of teachings herein, those skilled in the art will recognize various determinants2394 suitable for establishing whether or whensuch dialog3433 is adequately completed (agent3994 accepting another task without signaling that thedialog3433 was inadequate, each participant saying or texting at least twenty words,agent3994 entering five or more responses to survey questions during the dialog,dialog3433 lasting at least a minute, or other such device-detectable events manifested inuser input2471, e.g.).
• Also in such variants,extensive operation53 may be performed by a specialpurpose authorization module3792 implemented as or operably coupled withcircuitry3328 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to authorize a dispensation of one or more tangible benefits2620 (topatient992 or hercaregiver991, e.g.) if two specific conditions2323,2324 are met and otherwise generally not to authorize the dispensation. This can occur, for example, in a context in which condition2323 (manifested as a voltage level of a particularelectrical node3481, e.g.) comprises a regimen compliance determination2986 (signaling thatpatient992 and hercaregiver991 are currently compliant with regimen2334, e.g.) or other compliance-positive indication2987; in which condition2324 (manifested as a voltage level of one or more otherelectrical nodes3482, e.g.) comprises one or more determinants2394 signaling thatdialog3433 occurred; in whichauthorization module3792 is configured to authorize a physical dispensation (of a drug viadispenser3270 or of currency viaATM4410 or of other items via amachine2030 mounted on a wall in anursing home3802, e.g.) responsive to such conditions2323,2324; and in which timely communication about regimen compliance with intermittently available patients or caregivers would not otherwise occur. In some contexts, for example,authorization module3792 may implement a partial withholding or other conditional access to a recreational drug (scotch, e.g.) or other treat (imported chocolates, e.g.) as an effective artificial incentive as described herein. Alternatively or additionally, in some embodiments, one or more other conditions2325 as described herein (the first individual being present for the dispensation, e.g.) may enable such dispensations. Alternatively or additionally, in some embodiments, one or more other conditions2328 as described herein (the first individual refusing to receive the dispensation, e.g.) may disable such dispensations.
• Referring again to the flow variants of FIGS.53 and58-62 described above,intensive operation85 may be performed by a specialpurpose input module3626 implemented ascircuitry3042 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to generate a Boolean indication (implemented as a voltage level of a particularelectrical node3474, e.g.) whether or not patient4250 is compliant with a minor requirement of regimen2337 (violations of which are unlikely to have any precipitous consequences, e.g.) as described above. Also in such variants,intensive operation90 may be performed by a specialpurpose input module3627 implemented as or operably coupled withcircuitry3043 having an event-sequencing structure configured to generate a Boolean indication (implemented as a voltage level of a particularelectrical node3475, e.g.) whether or not patient4250 is compliant with a major requirement of regimen2337 (violations of which are deemed byservice provider2710 to be likely to result in a major medical consequence or in a loss of coverage, e.g.) as described above.
• Also in such variants,extensive operation52 may be performed by a specialpurpose triggering module3553 implemented as or operably coupled withcircuitry3313 having an event-sequencing structure configured to initiate one or more electronic intercommunications3441-3443 (involving one ormore caregivers1291,1391 or their employer as described above, e.g.) automatically or otherwise as described above (as a real-time response to at least two “less significant” conditions2324-2326 being present but irrespective of at least one “more significant” condition2327 being present or not, e.g.).
• Also in such variants,extensive operation56 may be performed by a specialpurpose authorization module3791 implemented as or operably coupled withcircuitry3311 having an event-sequencing structure configured to route one ormore caregivers1291,1391 or their employer to a device associated with patient4250 (avehicle4243 orwearable article4245 or handheld2074, e.g.) as an automatic and conditional response to a “more significant” condition2327 being present as described above. In some variants, moreover, such routing (dispatching anambulance1295, e.g.) may be conditional upon one or more additional determinants2395 (patient4250 failing to respond to several consecutive attempts to initiate electronic intercommunications3441-3443 or other conditions2329 as described above, e.g.).
• Referring again to the flow variants of FIGS.54 and58-62 described above,intensive operation84 may be performed by a special purpose response module3663 (a logic gate, e.g.) operably coupled (through respective input signal paths, e.g.) to receive input from twoother response modules3661,3662. This can occur, for example, in a context in whichhospital202 was a “qualifying” institution into which patient4250 was previously admitted (because he needed angioplasty for congestive heart failure, e.g.); in whichresponse module3662 is implemented ascircuitry2962 having an event-sequencing structure configured to provide a Boolean indication2342 (implemented as a voltage level of a particularelectrical node3477, e.g.) whether or not patient4250 has yet experienced an institutional readmission (in relation to the congestive heart failure or to an infection from the angioplasty procedure or to some other hospital-error-induced complication, e.g.); and in whichresponse module3661 is implemented ascircuitry2961 having an event-sequencing structure configured to provide a Boolean indication2341 whether or not patient4250 has ever been admitted to a qualifying institution (implemented as a voltage level representative of a “true” value to indicate that such admission had occurred, e.g.) operatively coupled withcircuitry3132 having an event-sequencing structure configured to record an assignment of aresource2619 as an automatic and conditional response (as described inoperation84, e.g.). This can occur, for example, in a context in which such indication2342 is inverted (implemented as a voltage level representative of a “false” value to indicate that such readmission had occurred, e.g.); in whichresponse module3663 comprises an AND gate; in which a smaller (zero-value or negative, e.g.) artificial incentive will be selected if the AND gate output is “false”; and in which a larger artificial incentive will be selected if the AND gate output is “true.”
• Also in such variants,extensive operation57 may be performed by a specialpurpose authorization module3793 implemented as or operably coupled withcircuitry3329 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to authorize a dispensation if one or more specific conditions are met and otherwise generally not to authorize the dispensation. This can occur, for example, in a context in which such structure further comprises avending machine2030,ATM4410, slot machine, or otherelectromechanical interaction unit2775 capable of dispensing food, currency, orother resources2619 directly to patient4250 and in whichsuch incentives2640 would not otherwise be appropriately tailored (cost-effective, e.g.) for motivating patient4250 and others similarly situated to be proactive and diligent in avoiding such readmission. Alternatively or additionally, one or more other flows described herein (for responding to noncompliance events or interacting with patients, e.g.) may be used concurrently to notify patient4250 of applicable circumstances (reasons to follow a health regimen, e.g.) or to adjust the incentive regimen so that the particular patient4250 will be more inclined to comply. In some instances, for example, such patients4250 may respond best to a negative incentive such as one in which a result2313 of assigning “the component of the artificial incentive” may comprise a trigger2306 that temporarily limits the capabilities of one ormore devices2005,2015 (establishing a maximum number of hours per day that a TV or phone will operate or a maximum speed at which avehicle4243 or data download will operate, e.g.) as a conditional response to an institutional readmission (resulting from health regimen noncompliance, e.g.). Even in contexts in whichauthorization module3793 cannot feasibly controlsuch devices2005,2015 in real time, for example, such negative-incentive results2313 may be implemented by a suitable implementation ofoperation57 in which an order is transmitted to a specialty service provider (mechanic, e.g.) to modify the device (by installing a speed governor, e.g.). SeeFIG. 53.
• Referring again to the flow variants of FIGS.55 and58-62 described above,intensive operation87 may be performed by a specialpurpose input module3628 implemented ascircuitry3261 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to provide a Boolean indication2559 (implemented as a voltage level of a particularelectrical node3478, e.g.) whether or not anorder4538 associates the first patient with the medical device. This can occur, for example, in a context in which the “first” patient is a patient4550 who might suffer harm if the regimen2338 prescribed to her is not followed correctly; in which the medical device would otherwise present a significant hazard to another particular patient1292 (who has a heart condition or allergy or similar vulnerability, e.g.); or in which the medical device is expensive and subject to degradation (disposable, e.g.). Some implementations ofoperation87 may cause one such medical device to be associated with a particular list of two ormore patients4550,4750. Other implementations ofoperation87 may cause thefirst patient4550 to be associated with two or more suchmedical devices2005,2015 (operably coupled via anetwork4590 or via adirect linkage2011, e.g.). In some variants,configuration module3704 may be authorized to cause one or more such assignments to be undone selectively (when the therapy or measurement is complete or the medical device is used or when the order is cancelled, e.g.).
• Also in such variants,intensive operation92 may be performed by special purpose circuitry3051 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to generate a Boolean indication (implemented as a voltage level of a particularelectrical node3479, e.g.) whether or not the first patient and the medical device are in proximity. This can occur, for example, in a context in which the event-sequencing structure is configured to detect a location of the medical device or the first patient (or both) by virtue of being operably coupled with one ormore sensors3506,4543 (via respective signal paths along which one or moredigital signals2564 may travel, e.g.) as described above. In a context in which the medical device is a stationary device2015 (anexercise machine2073 in a particular room of anursing home3802, e.g.), for example, the event-sequencing structure may be implemented as a global positioning system (inGPS module3420, e.g.) adapted to generate the Boolean indication (atelectrical node3479, e.g.) whenever the special-purpose circuitry (of a portableprimary unit3405 carried or worn by patient4550 that implements local event-sequencing logic3005, e.g.) is in that particular room.
• Also in such variants,extensive operation58 may be performed by a specialpurpose configuration module3704 implemented as or operably coupled withcircuitry3327 having an event-sequencing structure configured to enable the medical device selectively in response to a combination of two or more indications (electrical nodes3478-3480 all having a voltage level representative of a “set” or “true” Boolean value, e.g.) as described above (and otherwise doing nothing, e.g.). This can occur, for example, in a context in which the medical device is initially disabled (so that it cannot function untiloperation58, e.g.). Alternatively or additionally,configuration module3704 may be configured to activate one or more disablement features3365 of the medical device conditionally (responsive to one or moreelectrical nodes3480 having a voltage level representative of a “reset” or “false” Boolean value, e.g.). Moreover a wall-mountedkiosk4630 or other stationary device3760 (in aroom4704 or hallway3909 orother vicinity4585 of the first patient, e.g.) implementing the medical device may, in some contexts, reside innetwork4590.
• Referring again to the flow variants of FIGS.56 and58-62 described above,intensive operation83 may be performed by a specialpurpose response module3664 comprising aselection module3532 implemented as or operably coupled with circuitry2971 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to select a playable prompt in response to input from or about a patient. This can occur, for example, in a context in whichselection module3532 associates each of many diagnostic prompts2371-2375 with a corresponding trigger pattern2361-2365; in whichresponse module3664 is configured so that each such trigger pattern spoken or entered by the first individual is recognized (via a touchscreen4515 orspeech recognition module3427, e.g.) and triggers a corresponding playable prompt2371-2375 to be transmitted to the first individual (via text-to-speech translation module3428 andspeaker3509, e.g.).
• In some variants, for example, a spoken or otherwise recognized pattern2361 of “patient” (in a context in which no patient is currently selected, e.g.) may correspond to a playable prompt2371 like “Please state the name of the patient.” (A “patient” may generally be a mammal or other animal in scenarios described herein, unless the context of a particular scenario strongly suggests that the patient must be human.) Likewise a spoken or otherwise recognized pattern2362 of “Richard Hyde” (in a context in which the first individual has just heard prompt2371, e.g.) may correspond to a playable prompt2372 like “What is the patient's date of birth?” Likewise a spoken or otherwise recognized pattern2363 of a calendar date (in a context in which the first individual has just heard prompt2372 and in which a localmedical record3194 is found for a Richard Hyde having that date of birth, e.g.) may correspond to a playable prompt2373 like “Has Richard Hyde had medical care here before?” Likewise a spoken or otherwise recognized pattern2364 of “yes” (in a context in which the first individual has just heard prompt2373, e.g.) may correspond to a playable prompt2374 like “Does Richard Hyde have any new symptoms today?” Likewise a spoken or otherwise recognized pattern2365 of “yes” (in a context in which the first individual has just heard prompt2374, e.g.) may correspond to a playable prompt2375 like “Please describe the primary health issue for which Richard Hyde needs care today.” Alternatively or additionally, one or more such prompts2371-2379 may be displayed (via a touchscreen4515 ordisplay4626 in a vicinity of the first individual, e.g.) and played (viaspeaker3509, e.g.) simultaneously.
• Also in such variants,intensive operation95 may be performed by a specialpurpose detection module3743 implemented as or operably coupled with circuitry3115 having an event-sequencing structure (including an arrangement of transistors and voltage levels in one or more semiconductor chips comprising a video- or sound-clip capture module3426 operably coupled to a special-purposespeech recognition module3427, e.g.) configured to recognize a response after a prompt is played to an individual. This can occur, for example, in a context in whichdetection module3743 recognizes one or more patterns2362-2366 that may comprise the “second” data component. Alternatively or additionally, the second data component may includeintake data3507 comprising unrecognized content (a sound clip or other biometric data not recognized bydetection module3743, e.g.).
• Also in such variants,extensive operation54 may be performed by a specialpurpose configuration module3702 implemented as or operably coupled withcircuitry3316 having an event-sequencing structure configured to cause a wearable article to indicate a data component as an automatic and conditional response (operably coupled with a sticker-printing dispenser4633 or other machine at the “first” care facility that can configure awrist band1223,bandage3852,sticker4634, or other wearable article to include the “second” data component, e.g.). This can occur, for example, in a context in which the wearable article contains the second data component (as a video or audio clip in the form of an encrypted or other digital data file on a flash drive, e.g.) and in which data-handlingdevice3705 resides in one or more networks as described above.
• Referring again to the flow variants of FIGS.57 and58-62 described above,intensive operation91 may be performed jointly by two specialpurpose configuration modules3701,3703. This can occur, for example, in a context in whichconfiguration module3701 is implemented ascircuitry2972 having an event-sequencing structure (an arrangement of transistors and voltage levels in one or more semiconductor chips, e.g.) configured to associate patient4250 or user3780 with a regimen2339 and in whichconfiguration module3703 is implemented ascircuitry3035 having an event-sequencing structure configured to associate one ormore tasks2444 of regimen2339 with a particular time interval2542 (“2 hours” or “from now until 7:30 pm,” e.g.). In some contexts, for example,task2444 may include conducting a counseling session (in person or via data-handlingdevice3705, e.g.) between patient4250 and user3780 (a nutritionist or other caregiver, e.g.).
• Also in such variants,extensive operation60 may be performed by a specialpurpose interface module3515 implemented as or operably coupled with circuitry3262 having an event-sequencing structure configured to cause a countdown timer2310 to progress (until an associated task is complete or the deadline has passed, e.g.). This can occur, for example, in a context in which countdown timer2310 is implemented in one or more wearable articles4245 (in which the countdown timer2310 is displayed in aportion4231 of animage4230, e.g.) or other data-handling devices3705 (as a browser page or other remote real-time notification, e.g.); in which user3780 has another such data-handling device3705 (with atouchscreen4115 or other display configured to implement countdown timer2310, e.g.); and in which patient4250 and user3780 are required to begin their session (per atask definition component4781 ofrecord4763, e.g.) by 7:30 pm (per atiming component4782 ofrecord4763, e.g.). Moreover acomputer2670 or kiosk4630 (having astationary display4626 or similar suitable medium2305, e.g.) may, in some contexts, be configured to implement countdown timer2310. Alternatively or additionally, in some variants, such devices can include animage2576 that displays two or more instances of countdown timers2310 so that two or more respective time intervals2542-2543 (associated with respective healthcare-related tasks for which patient4250 or his caregiver are responsible, e.g.) are visible simultaneously in the vicinity of the first individual.
• In light of teachings herein, numerous existing techniques may be applied for configuring special-purpose circuitry or other structures effective for implementing a notification as described herein without undue experimentation. See, e.g., U.S. Pat. No. 8,060,562 (“Real time update notification”); U.S. Pat. No. 7,940,602 (“Real-time system and method of underwater depth discrepancy detection, recordation and alarm notification”); U.S. Pat. No. 7,924,149 (“System and method for providing alarming notification and real-time, critical emergency information to occupants in a building or emergency designed area and evacuation guidance system to and in the emergency exit route”); U.S. Pat. No. 7,899,739 (“Construction payment management system and method with real-time draw notification features”); U.S. Pat. No. 7,898,423 (“Real-time event notification”); U.S. Pat. No. 7,890,622 (“Real-time notification of device events”); U.S. Pat. No. 7,865,566 (“Method and apparatus for providing real-time notification for avatars”); U.S. Pat. No. 7,835,506 (“Method and system for real-time notification and disposition of voice services in a cable services network”); U.S. Pat. No. 7,813,481 (“Conversation recording with real-time notification for users of communication terminals”); U.S. Pat. No. 7,617,162 (“Real time push notification in an event driven network”); and U.S. Pat. No. 7,319,378 (“Anti-theft system for a vehicle with real-time notification feature”).
• Also in such variants,extensive operation50 may be performed by a specialpurpose communication module3682 implemented as or operably coupled with circuitry3325 having an event-sequencing structure configured to transmit aBoolean indication2557 whether or not the 7:30 pm deadline (specified bytiming component4782 ofrecord4763, e.g.) was met. This can occur, for example, in a context in whichcommunication module3682 is configured to transmit such data to records archive820 or to some other recipient2722 (a family member of patient4250 or other subscriber, e.g.); in which the timely completion of such tasks would not otherwise get an appropriate degree of attention; and in whichBoolean indication2557 is implemented (as a voltage level, e.g.) on an electrical node3489 (of aresponse unit3605 operatively coupled with data-handlingdevice3705, e.g.). In some variants, for example, even a single suchBoolean indication2557 may be encoded (by a suitable code division multiple access protocol, e.g.) to be expressed across several nodes (signal transmission lines, e.g.).
• The foregoing detailed description has set forth various embodiments of the devices and/or processes via the use of block diagrams, flowcharts, and/or examples. Insofar as such block diagrams, flowcharts, and/or examples contain one or more functions and/or operations, it will be understood by those within the art that each function and/or operation within such block diagrams, flowcharts, or examples can be implemented, individually and/or collectively, by a wide range of hardware, software, firmware, or virtually any combination thereof. In one embodiment, several portions of the subject matter described herein may be implemented via Application Specific Integrated Circuits (ASICs), Field Programmable Gate Arrays (FPGAs), digital signal processors (DSPs), or other integrated formats. However, those skilled in the art will recognize that some aspects of the embodiments disclosed herein, in whole or in part, can be equivalently implemented in integrated circuits, as one or more computer programs running on one or more computers (e.g., as one or more programs running on one or more computer systems), as one or more programs running on one or more processors (e.g., as one or more programs running on one or more microprocessors), as firmware, or as virtually any combination thereof, and that designing the circuitry and/or writing the code for the software and or firmware would be well within the skill of one of skill in the art in light of this disclosure. In addition, those skilled in the art will appreciate that the mechanisms of the subject matter described herein are capable of being distributed as a program product in a variety of forms, and that an illustrative embodiment of the subject matter described herein applies regardless of the particular type of signal bearing medium used to actually carry out the distribution. Examples of a signal bearing medium include, but are not limited to, the following: a recordable type medium such as a floppy disk, a hard disk drive, a Compact Disc (CD), a Digital Video Disk (DVD), a digital tape, a computer memory, etc.; and a transmission type medium such as a digital and/or an analog communication medium (e.g., a fiber optic cable, a waveguide, a wired communications link, a wireless communication link (e.g., transmitter, receiver, transmission logic, reception logic, etc.), etc.).
• While particular aspects of the present subject matter described herein have been shown and described, it will be apparent to those skilled in the art that, based upon the teachings herein, changes and modifications may be made without departing from the subject matter described herein and its broader aspects and, therefore, the appended claims are to encompass within their scope all such changes and modifications as are within the true spirit and scope of the subject matter described herein. It will be understood by those within the art that, in general, terms used herein, and especially in the appended claims (e.g., bodies of the appended claims) are generally intended as “open” terms (e.g., the term “including” should be interpreted as “including but not limited to,” the term “having” should be interpreted as “having at least,” the term “includes” should be interpreted as “includes but is not limited to,” etc.).
• It will be further understood by those within the art that if a specific number of an introduced claim recitation is intended, such an intent will be explicitly recited in the claim, and in the absence of such recitation no such intent is present. For example, as an aid to understanding, the following appended claims may contain usage of the introductory phrases “at least one” and “one or more” to introduce claim recitations. However, the use of such phrases should not be construed to imply that the introduction of a claim recitation by the indefinite articles “a” or “an” limits any particular claim containing such introduced claim recitation to claims containing only one such recitation, even when the same claim includes the introductory phrases “one or more” or “at least one” and indefinite articles such as “a” or “an” (e.g., “a” and/or “an” should typically be interpreted to mean “at least one” or “one or more”); the same holds true for the use of definite articles used to introduce claim recitations. In addition, even if a specific number of an introduced claim recitation is explicitly recited, those skilled in the art will recognize that such recitation should typically be interpreted to mean at least the recited number (e.g., the bare recitation of “two recitations,” without other modifiers, typically means at least two recitations, or two or more recitations).
• Furthermore, in those instances where a convention analogous to “at least one of A, B, and C, etc.” is used, in general such a construction is intended in the sense one having skill in the art would understand the convention (e.g., “a system having at least one of A, B, and C” would include but not be limited to systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and/or A, B, and C together, etc.). In those instances where a convention analogous to “at least one of A, B, or C, etc.” is used, in general such a construction is intended in the sense one having skill in the art would understand the convention (e.g., “a system having at least one of A, B, or C” would include but not be limited to systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and/or A, B, and C together, etc.). It will be further understood by those within the art that typically a disjunctive word and/or phrase presenting two or more alternative terms, whether in the description, claims, or drawings, should be understood to contemplate the possibilities of including one of the terms, either of the terms, or both terms unless context dictates otherwise. For example, the phrase “A or B” will be typically understood to include the possibilities of “A” or “B” or “A and B.”
• This application may make reference to one or more trademarks, e.g., a word, letter, symbol, or device adopted by one manufacturer or merchant and used to identify and/or distinguish his or her product from those of others. Trademark names used herein are set forth in such language that makes clear their identity, that distinguishes them from common descriptive nouns, that have fixed and definite meanings, or, in many if not all cases, are accompanied by other specific identification using terms not covered by trademark. In addition, trademark names used herein have meanings that are well-known and defined in the literature, or do not refer to products or compounds for which knowledge of one or more trade secrets is required in order to divine their meaning. All trademarks referenced in this application are the property of their respective owners, and the appearance of one or more trademarks in this application does not diminish or otherwise adversely affect the validity of the one or more trademarks. All trademarks, registered or unregistered, that appear in this application are assumed to include a proper trademark symbol, e.g., the circle R or bracketed capitalization (e.g., [trademark name]), even when such trademark symbol does not explicitly appear next to the trademark. To the extent a trademark is used in a descriptive manner to refer to a product or process, that trademark should be interpreted to represent the corresponding product or process as of the date of the filing of this patent application.
• With respect to the numbered clauses and claims expressed below, those skilled in the art will appreciate that recited operations therein may generally be performed in any order. Also, although various operational flows are presented in a sequence(s), it should be understood that the various operations may be performed in other orders than those which are illustrated, or may be performed concurrently. Examples of such alternate orderings may include overlapping, interleaved, interrupted, reordered, incremental, preparatory, supplemental, simultaneous, reverse, or other variant orderings, unless context dictates otherwise. Furthermore, terms like “responsive to,” “related to,” or other past-tense adjectives are generally not intended to exclude such variants, unless context dictates otherwise. Also in the numbered clauses below, specific combinations of aspects and embodiments are articulated in a shorthand form such that (1) according to respective embodiments, for each instance in which a “component” or other such identifiers appear to be introduced (with “a” or “an,” e.g.) more than once in a given chain of clauses, such designations may either identify the same entity or distinct entities; and (2) what might be called “dependent” clauses below may or may not incorporate, in respective embodiments, the features of “independent” clauses to which they refer or other features described above.
• Those skilled in the art will appreciate that the foregoing specific exemplary processes and/or devices and/or technologies are representative of more general processes and/or devices and/or technologies taught elsewhere herein, such as in the claims filed herewith and/or elsewhere in the present application.
CLAUSES
• 1. (Independent) A healthcare information management system comprising:
• one or more articles of manufacture including
• transistor-based circuitry having an event-sequencing structure configured for obtaining an indication whether or not a first individual is compliant with a first health regimen;
• transistor-based circuitry having an event-sequencing structure configured for responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and
• transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.
• 2. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a portable device associated with the first individual and including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.
• 3. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for obtaining the indication whether or not the first individual is compliant with the first health regimen including an electrical node having a voltage level manifesting the indication whether or not the first individual is compliant with the first health regimen.
• 4. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a portable device including the transistor-based circuitry having the event-sequencing structure configured for responding to the indication whether or not the first individual is compliant with the first health regimen by causing the device associated with the first individual to receive the indication of the artificial incentive.
• 5. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including an electrical node having a voltage level manifesting the indication whether or not the dialog occurs between the first individual and the second individual.
• 6. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the device associated with the first individual, including a data-handling medium bearing digital data manifesting the indication of the artificial incentive.
• 7. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a dispenser configured to manifest the artificial incentive by dispensing cash as a conditional response to the dialog between the first individual and the second individual.
• 8. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a dispenser configured to manifest the artificial incentive by dispensing one or more physical articles as a conditional response to the dialog between the first individual and the second individual.
• 9. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a module configured to implement the artificial incentive by allocating a component of the artificial incentive to the first individual.
• 10. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a module configured to implement the artificial incentive by allocating a component of the artificial incentive to the second individual.
• 11. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the first health regimen having a medication component, an indication whether or not the first individual has complied with the medication component of the first health regimen comprising the indication whether or not the first individual is compliant with the first health regimen.
• 12. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• exercise equipment, the first health regimen having an exercise component, the exercise equipment configured to detect an indication whether or not the first individual has complied with the exercise component of the first health regimen comprising the indication whether or not the first individual is compliant with the first health regimen.
• 13. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the indication whether or not the first individual is compliant with the first health regimen comprising an indication whether or not an actuator has moved within a particular interval of time, the particular interval of time being a component of the first health regimen.
• 14. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a measurement unit, the first health regimen having a measurement component, the measurement unit configured to generate a signal negatively or positively indicative of compliance with the measurement component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.
• 15. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a tracking unit, the first health regimen having a tracking component, the tracking unit configured to generate a signal negatively or positively indicative of compliance with the tracking component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.
• 16. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a sensor, the first health regimen having an omission component, the sensor configured to generate a signal negatively or positively indicative of compliance with the omission component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.
• 17. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a sensor, an indication whether or not the sensor detects an event comprising the indication whether or not the first individual is compliant with the first health regimen.
• 18. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a networked device, including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.
• 19. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• a handheld device, including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.
• 20. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• an application-specific integrated circuit, including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.
• 21. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a therapeutic protocol; and
  • transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.
• 22. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a medical condition; and
  • transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.
• 23. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being the first individual or the second individual.
• 24. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being the first individual or the second individual.
• 25. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for updating a locally-resident subscriber registry in response to the first individual entering a service zone.
• 26. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that a specific pathology in the first individual has been treated at a first hospital and an indication that the specific pathology in the first individual has been treated at a second hospital.
• 27. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record of the first individual selectively in response to an explicit indication of a payment reduction that identifies the first individual.
• 28. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.
• 29. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for detecting a wireless device within an effective range of a stationary device, the wireless device being the device associated with the first individual.
• 30. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for obtaining an explicit indication whether or not a record of treating a medical condition in the first individual with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.
• 31. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for initiating a telephone call between the first individual and another entity as an automatic response to the first individual not being compliant with a health regimen and to an indication that the other entity is available.
• 32. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call.
• 33. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for causing a locally-resident subscriber registry to be updated with an indication of the first individual.
• 34. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of another device, the other device being the device associated with the first individual.
• 35. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for responding to an event with an audible notification, the event being the decision whether or not to manifest the artificial incentive.
• 36. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment, the first health regimen including the first medical treatment.
• 37. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for detecting a passive wireless transponder within a vicinity of a vehicle, the device associated with the first individual including the passive wireless transponder and being wearable by the first individual.
• 38. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for obtaining an indication whether the first individual is compliant with a second health regimen as a determinant of the decision whether or not to manifest the artificial incentive.
• 39. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the second element referring to the first individual or to the second individual.
• 40. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first individual detecting a particular event relating to the first individual, the other entity being or not being the second individual.
• 41. The healthcare information management system of any of the above SYSTEM CLAUSES, further comprising:
• the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transistor-based circuitry having an event-sequencing structure configured for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.
• 42. (Independent) A healthcare information management method comprising:
• obtaining an indication whether or not a first individual is compliant with a first health regimen;
• responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and
• invoking transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.
• 43. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • looking up a communication delay as a function of a therapeutic protocol; and
  • transmitting a query as an automatic response to an expiration of the communication delay.
• 44. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • looking up a communication delay as a function of a medical condition; and
  • transmitting a query as an automatic response to an expiration of the communication delay.
• 45. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being the first individual or the second individual.
• 46. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being the first individual or the second individual.
• 47. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least updating a locally-resident subscriber registry in response to the first individual entering a service zone.
• 48. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • obtaining an indication that a specific pathology in the first individual has been treated at a first hospital and an indication that the specific pathology in the first individual has been treated at a second hospital.
• 49. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • retrieving a medical treatment record of the first individual selectively in response to an explicit indication of a payment reduction that identifies the first individual.
• 50. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.
• 51. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • detecting a wireless device within an effective range of a stationary device, the wireless device being the device associated with the first individual.
• 52. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • obtaining an explicit indication whether or not a record of treating a medical condition in the first individual with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.
• 53. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • initiating a telephone call between the first individual and another entity as an automatic response to the first individual not being compliant with a health regimen and to an indication that the other entity is available.
• 54. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • signaling a decision whether to transfer a resource to the first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call.
• 55. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least causing a locally-resident subscriber registry to be updated with an indication of the first individual.
• 56. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • determining whether a medical device is in a vicinity of another device, the other device being the device associated with the first individual.
• 57. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • responding to an event with an audible notification, the event being the decision whether or not to manifest the artificial incentive.
• 58. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment, the first health regimen including the first medical treatment.
• 59. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • detecting a passive wireless transponder within a vicinity of a vehicle, the device associated with the first individual including the passive wireless transponder and being wearable by the first individual.
• 60. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • obtaining an indication whether the first individual is compliant with a second health regimen as a determinant of the decision whether or not to manifest the artificial incentive.
• 61. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the second element referring to the first individual or to the second individual.
• 62. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • transmitting a real-time notification to another entity as an automatic response to an interface on or near the first individual detecting a particular event relating to the first individual, the other entity being or not being the second individual.
• 63. The healthcare information management system of any of the above METHOD CLAUSES, further comprising:
• the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least
• • implementing a failsafe preventing medical equipment from operating until the order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.
• 64. (Independent) A healthcare information management method comprising:
• obtaining an association between data indicating a current health status of a first individual and a record designator; and
• causing a wearable article at a first care facility to include the data indicating the current health status of the first individual as an automatic and conditional response to local input at the first care facility matching the record designator.
• 65. The healthcare information management method ofCLAUSE 64 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 66. (Independent) A healthcare information management method comprising:
• obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;
• obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and
• signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.
• 67. The healthcare information management method ofCLAUSE 66 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 68. (Independent) A healthcare information management method comprising:
• obtaining via a first device a scalar indication of how well a first health regimen has been followed by a first individual;
• obtaining via a second device a scalar indication of how well a second health regimen has been followed by a second individual; and
• characterizing a performance of a third individual with a scalar evaluation obtained by mathematically combining the scalar indication of how well the first health regimen has been followed by the first individual with the scalar indication of how well the second health regimen has been followed by the second individual.
• 69. The healthcare information management method of CLAUSE 68 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 70. (Independent) A healthcare information management method comprising:
• obtaining a field of view within which a specific portion of the field of view includes a view of a first patient;
• obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and
• signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.
• 71. The healthcare information management method of CLAUSE 70 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 72. (Independent) A healthcare information management method comprising:
• obtaining a first indication whether or not a first patient has violated a first health regimen;
• obtaining a second indication whether or not the first patient has violated the first health regimen;
• signaling a decision whether or not to initiate an electronic communication between the first patient and a provider as an automatic and conditional response to the first indication whether or not the first patient has violated the first health regimen but not to the second indication whether or not the first patient has violated the first health regimen; and
• signaling a decision whether or not to route the provider to the first patient as a conditional response to the first indication whether or not the first patient has violated the first health regimen and to the second indication whether or not the first patient has violated the first health regimen.
• 73. The healthcare information management method of CLAUSE 72 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 74. (Independent) A healthcare information management method comprising:
• obtaining an indication whether or not a first individual is compliant with a first health regimen;
• responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and
• signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.
• 75. The healthcare information management method of CLAUSE 74 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 76. (Independent) A healthcare information management method comprising:
• obtaining an indication that an order associates a first patient with a medical device;
• obtaining an indication that the medical device is in a vicinity of the first patient; and
• enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.
• 77. The healthcare information management method of CLAUSE 76 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 78. (Independent) A healthcare information management method comprising:
• causing a first individual to receive a playable prompt that was automatically selected according to a first data component received from the first individual;
• receiving a second data component from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual; and
• causing a wearable article at a first care facility to indicate the second data component received from the first individual after the first individual received the playable prompt that was automatically selected according to the first data component received from the first individual.
• 79. The healthcare information management method of CLAUSE 78 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 80. (Independent) A healthcare information management method comprising:
• identifying a first health regimen associated with a first individual, the first health regimen including one or more healthcare-related tasks associated with a time interval;
• causing a countdown timer to indicate a remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in a vicinity of the first individual; and
• signaling a Boolean indication of whether or not any of the one or more healthcare-related tasks associated with the time interval were performed within the time interval after the countdown timer has indicated the remaining portion of the time interval associated with the one or more healthcare-related tasks visibly in the vicinity of the first individual.
• 81. The healthcare information management method of CLAUSE 80 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 82. (Independent) A healthcare information management method comprising:
• causing an electronic record of a first protocol for a particular condition to be annotated with a scan of a document; and
• retrieving the electronic record of the first protocol after the electronic record of the first protocol is annotated with the scan of the document partly based on an indication of a first patient undergoing the first protocol and partly based on an indication of an institutional readmission.
• 83. The healthcare information management method ofCLAUSE 82 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 84. (Independent) A healthcare information management method comprising:
• obtaining an indication that a particular condition was treated in a first patient with a first protocol;
• causing a record of a second patient to include the indication that the particular condition was treated in the first patient with the first protocol; and
• retrieving the record of the second patient selectively in response to an association between the second patient and an indication of an institutional readmission after the record of the second patient includes the indication that the particular condition was treated in the first patient with the first protocol.
• 85. The healthcare information management method ofCLAUSE 84 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 86. (Independent) A healthcare information management method comprising:
• obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
• requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour; and
• signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
• 87. The healthcare information management method ofCLAUSE 86 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 88. (Independent) A healthcare information management method comprising:
• obtaining an association between a particular condition and a first protocol;
• causing a comparison between a threshold and a prominence indication of treating the particular condition with the first protocol after the association between then particular condition and the first protocol is obtained; and
• signaling a decision whether to caution a caregiver partly based on the association between the particular condition and the first protocol and partly based on the comparison between the threshold and the prominence indication of treating the particular condition with the first protocol.
• 89. The healthcare information management method ofCLAUSE 88 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 90. (Independent) A healthcare information management method comprising:
• obtaining an association between a care administration space and a first device;
• obtaining via a second device a patient consent conditionally authorizing a release of a first medical record, the second device being a mobile device; and
• causing the first device to receive the first medical record partly based on the second device entering the care administration space and partly based on the patient consent authorizing the release of the first medical record.
• 91. The healthcare information management method ofCLAUSE 90 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 92. (Independent) A healthcare information management method comprising:
• obtaining an indication of a first device associated with and wearable by a patient hospitalized for a particular condition;
• obtaining an indication of a second device associated with and wearable by a caregiver;
• causing a recordation of a timestamp as an automatic response to the first device associated with and wearable by the patient and the second device associated with and wearable by a caregiver both being in a single common location; and
• describes causing a retrieval of the timestamp in response to an indication of an institutional readmission after the recordation of the timestamp indicating the first device associated with and wearable by the patient and the second device associated with and wearable by the caregiver both having been in the single common location.
• 93. The healthcare information management method ofCLAUSE 92 further comprising:
• performing the operation(s) of any one or more of the above METHOD CLAUSES that depend fromMETHOD CLAUSE 42.
• 94. (Independent) A system comprising:
• means for performing the operation(s) of any one or more of the above METHOD CLAUSES.
• 95. (Independent) An article of manufacture comprising:
• one or more physical media configured to bear a device-detectable implementation of a method including at least
• obtaining an indication whether or not a first individual is compliant with a first health regimen;
• responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and
• signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.
• 96. The article of manufacture ofCLAUSE 95 in which a portion of the one or more physical media comprises:
• one or more signal-bearing media configured to transmit a binary sequence manifesting one or more device-executable instructions configured to perform the operation(s) of any one or more of the above METHOD CLAUSES.
• 97. (Independent) An article of manufacture comprising:
• one or more physical media bearing a device-detectable output manifesting an occurrence of
• obtaining an indication whether or not a first individual is compliant with a first health regimen;
• responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and
• signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.
• 98. The article of manufacture ofCLAUSE 97 in which a portion of the one or more physical media comprises:
• one or more signal-bearing media bearing at least one binary sequence from an event-sequencing structure configured to perform the operation(s) of any one or more of the above METHOD CLAUSES.
• All of the patents and other publications referred to above are incorporated herein by reference generally—including those identified in relation to particular new applications of existing techniques—to the extent not inconsistent herewith (in each respective latest edition, where applicable). While various system, method, article of manufacture, or other embodiments or aspects have been disclosed above, also, other combinations of embodiments or aspects will be apparent to those skilled in the art in view of the above disclosure. The various embodiments and aspects disclosed above are for purposes of illustration and are not intended to be limiting, with the true scope and spirit being indicated in the final claim set that follows.

Claims (46)

What is claimed is:

1. A healthcare information management system comprising:

one or more articles of manufacture including

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication whether or not a first individual is compliant with a first health regimen;

transistor-based circuitry having an event-sequencing structure configured for responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.

2. The healthcare information management system ofclaim 1, further comprising:

a portable device associated with the first individual and including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.

3. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for obtaining the indication whether or not the first individual is compliant with the first health regimen including an electrical node having a voltage level manifesting the indication whether or not the first individual is compliant with the first health regimen.

4-7. (canceled)

8. The healthcare information management system ofclaim 1, further comprising:

a dispenser configured to manifest the artificial incentive by dispensing one or more physical articles as a conditional response to the dialog between the first individual and the second individual.

9-10. (canceled)

11. The healthcare information management system ofclaim 1, further comprising:

the first health regimen having a medication component, an indication whether or not the first individual has complied with the medication component of the first health regimen comprising the indication whether or not the first individual is compliant with the first health regimen.

12. The healthcare information management system ofclaim 1, further comprising:

exercise equipment, the first health regimen having an exercise component, the exercise equipment configured to detect an indication whether or not the first individual has complied with the exercise component of the first health regimen comprising the indication whether or not the first individual is compliant with the first health regimen.

13. (canceled)

14. The healthcare information management system ofclaim 1, further comprising:

a measurement unit, the first health regimen having a measurement component, the measurement unit configured to generate a signal negatively or positively indicative of compliance with the measurement component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.

15. The healthcare information management system ofclaim 1, further comprising:

a tracking unit, the first health regimen having a tracking component, the tracking unit configured to generate a signal negatively or positively indicative of compliance with the tracking component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.

16. The healthcare information management system ofclaim 1, further comprising:

a sensor, the first health regimen having an omission component, the sensor configured to generate a signal negatively or positively indicative of compliance with the omission component of the first health regimen as the indication whether or not the first individual is compliant with the first health regimen.

17-18. (canceled)

19. The healthcare information management system ofclaim 1, further comprising:

a handheld device, including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.

20. The healthcare information management system ofclaim 1, further comprising:

an application-specific integrated circuit, including the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual.

21. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a therapeutic protocol; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.

22. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a medical condition; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.

23. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being the first individual or the second individual.

24. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being the first individual or the second individual.

25. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for updating a locally-resident subscriber registry in response to the first individual entering a service zone.

26. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that a specific pathology in the first individual has been treated at a first hospital and an indication that the specific pathology in the first individual has been treated at a second hospital.

27-28. (canceled)

29. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for detecting a wireless device within an effective range of a stationary device, the wireless device being the device associated with the first individual.

30. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an explicit indication whether or not a record of treating a medical condition in the first individual with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

31. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for initiating a telephone call between the first individual and another entity as an automatic response to the first individual not being compliant with a health regimen and to an indication that the other entity is available.

32. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call.

33. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for causing a locally-resident subscriber registry to be updated with an indication of the first individual.

34. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of another device, the other device being the device associated with the first individual.

35. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for responding to an event with an audible notification, the event being the decision whether or not to manifest the artificial incentive.

36. (canceled)

37. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for detecting a passive wireless transponder within a vicinity of a vehicle, the device associated with the first individual including the passive wireless transponder and being wearable by the first individual.

38. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication whether the first individual is compliant with a second health regimen as a determinant of the decision whether or not to manifest the artificial incentive.

39. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the second element referring to the first individual or to the second individual.

40. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first individual detecting a particular event relating to the first individual, the other entity being or not being the second individual.

41. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

42. A healthcare information management system comprising:

one or more articles of manufacture including

means for obtaining an indication whether or not a first individual is compliant with a first health regimen;

means for responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and

means for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.

43. The healthcare information management system ofclaim 42, further comprising:

the means for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

means for looking up a communication delay as a function of a therapeutic protocol; and

means for transmitting a query as an automatic response to an expiration of the communication delay.

44-55. (canceled)

56. The healthcare information management system ofclaim 42, further comprising:

the means for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

means for determining whether a medical device is in a vicinity of another device, the other device being the device associated with the first individual.

57-62. (canceled)

63. The healthcare information management system ofclaim 42, further comprising:

the means for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

means for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

64. A healthcare information management method comprising:

obtaining an indication whether or not a first individual is compliant with a first health regimen;

responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and

invoking transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.

65-86. (canceled)

87. An article of manufacture for healthcare information management comprising:

one or more physical media bearing a device-detectable output manifesting an occurrence of

obtaining an indication whether or not a first individual is compliant with a first health regimen;

responding to the indication whether or not the first individual is compliant with the first health regimen by causing a device associated with the first individual to receive an indication of an artificial incentive; and

signaling a decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to an indication whether or not a dialog occurs between the first individual and a second individual.

88. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for detecting a wireless device within an effective range of a stationary device, the wireless device being the device associated with the first individual;

transistor-based circuitry having an event-sequencing structure configured for updating a locally-resident subscriber registry in response to the first individual entering a service zone;

transistor-based circuitry having an event-sequencing structure configured for obtaining an explicit indication whether or not a record of treating a medical condition in the first individual with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent;

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a therapeutic protocol, the therapeutic protocol being the particular protocol; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay;

transistor-based circuitry having an event-sequencing structure configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first individual detecting a particular event relating to the first individual, the other entity being or not being the second individual;

transistor-based circuitry having an event-sequencing structure configured for responding to an event with an audible notification, the event being the decision whether or not to manifest the artificial incentive; and

transistor-based circuitry having an event-sequencing structure configured for detecting a passive wireless transponder within a vicinity of a vehicle, the device associated with the first individual including the passive wireless transponder and being wearable by the first individual.

89. The healthcare information management system ofclaim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the decision whether or not to manifest the artificial incentive after the device associated with the first individual receives the indication of the artificial incentive and responsive to the indication whether or not the dialog occurs between the first individual and the second individual including at least

transistor-based circuitry having an event-sequencing structure configured for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being the first individual or the second individual;

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that a specific pathology in the first individual has been treated at a first hospital and an indication that the specific pathology in the first individual has been treated at a second hospital;

transistor-based circuitry having an event-sequencing structure configured for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment;

transistor-based circuitry having an event-sequencing structure configured for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the second element referring to the first individual or to the second individual; and

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call.

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